Sandgren, Patricia Lynn

Sandgren, Patricia Lynn is an individual health care provider with primary practice located at 2880 Tricom St , North Charleston SC 29406-9171. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Sandgren, Patricia Lynn can be contacted via phone (843) 797-5050.

Contact Information

Primary practice address
2880 Tricom St North Charleston SC 29406-9171
Phone: (843) 797-5050
Fax: (843) 797-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 276 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 276 South Carolina

Profile Details

NPI number 1912923293
LBN Legal business name Sandgren, Patricia Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 16th, 2007 - about 19 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 1912923293 NPPES
South Carolina Other 621330S SELECT HLTH
South Carolina MEDICAID 03509A SELECT HLTH

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