Sanders, Jennifer
Sanders, Jennifer is an sole proprietor health care provider with primary practice located at 7980 New La Grange Rd Ste 7 , Louisville KY 40222-4767. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sanders, Jennifer can be contacted via phone (502) 904-3509.Contact Information
Primary practice address
7980 New La Grange Rd Ste 7
Louisville KY 40222-4767
Phone: (502) 904-3509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Kentucky | |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 172730 | Kentucky |
Profile Details
| NPI number | 1801930185 |
|---|---|
| LBN Legal business name | Sanders, Jennifer |
| Credentials | LPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801930185 | NPPES |
| Kentucky | MEDICAID | 30605018 |
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