Sanders, Jimmy D

Sanders, Jimmy D is an sole proprietor health care provider with primary practice located at 4101 Wesley St Ste E , Greenville TX 75401-5635. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sanders, Jimmy D can be contacted via phone (903) 408-5860.

Contact Information

Primary practice address
4101 Wesley St Ste E Greenville TX 75401-5635
Fax: (903) 408-5869
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00444 Texas

Profile Details

NPI number 1568474419
LBN Legal business name Sanders, Jimmy D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Oct 3rd, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568474419 NPPES
Texas Other PA00444 LICENSE

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