Stennett, Sandra Faye
Stennett, Sandra Faye is an individual health care provider with primary practice located at 1532 Bridge Rd Apt A , Charleston WV 25314-1900. 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 / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Stennett, Sandra Faye can be contacted via phone (304) 541-7763.Contact Information
Primary practice address
1532 Bridge Rd Apt A
Charleston WV 25314-1900
Phone: (304) 541-7763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA895 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 01204 | West Virginia |
Profile Details
| NPI number | 1023084183 |
|---|---|
| LBN Legal business name | Stennett, Sandra Faye |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Feb 17th, 2010 - about 16 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 | 1023084183 | NPPES |
| Kentucky | MEDICAID | 95005708 | |
| Kentucky | Other | 001906149 | |
| Kentucky | MEDICAID | 3810006840 |
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