Bollinger, Sandra T
Bollinger, Sandra T is an individual health care provider with primary practice located at 808 E Wakefield Ave , Sikeston MO 63801-5147. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bollinger, Sandra T can be contacted via phone (573) 471-1930.Contact Information
Primary practice address
808 E Wakefield Ave
Sikeston MO 63801-5147
Phone: (573) 471-1930
Fax: (573) 471-4591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 041666 | Missouri |
Profile Details
| NPI number | 1679569065 |
|---|---|
| LBN Legal business name | Bollinger, Sandra T |
| Credentials | PHARMD, CGP, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Mar 18th, 2009 - about 15 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 | 1679569065 | NPPES |
| Missouri | MEDICAID | 358346401 |
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