Stuart, Sandra H

Stuart, Sandra H is an individual health care provider with primary practice located at 301 N 1St St , Altus Afb OK 73523-5004. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Stuart, Sandra H can be contacted via phone (580) 481-5244.

Contact Information

Primary practice address
301 N 1St St Altus Afb OK 73523-5004
Phone: (580) 481-5244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD004221 Georgia

Profile Details

NPI number 1912350877
LBN Legal business name Stuart, Sandra H
Credentials MS, RDN, CSSD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2016
Last updated Sep 27th, 2023 - about 3 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 1912350877 NPPES
Georgia Other LD004221 STATE OF GEORGIA
Georgia Other 2775 STATE OF GEORGIA

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