Brickman, Sandra Gail
Brickman, Sandra Gail is an individual health care provider with primary practice located at 1806 Lee Aveune , Tifton GA 31794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brickman, Sandra Gail can be contacted via phone (229) 386-1528.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 045043 | Georgia |
Profile Details
| NPI number | 1376589556 |
|---|---|
| LBN Legal business name | Brickman, Sandra Gail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jun 19th, 2008 - 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 | 1376589556 | NPPES |
| Georgia | MEDICAID | 00880426F | |
| Georgia | MEDICAID | 00880426G | |
| Georgia | MEDICAID | 00880426A |
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