Cantrell, Sarah Jane

Cantrell, Sarah Jane is an individual health care provider with primary practice located at 407 W South St , Union SC 29379-2771. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cantrell, Sarah Jane can be contacted via phone (864) 429-8846.

Contact Information

Primary practice address
407 W South St Union SC 29379-2771
Phone: (864) 429-8846
Fax: (864) 429-9093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024118054 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18953 South Carolina

Profile Details

NPI number 1396714572
LBN Legal business name Cantrell, Sarah Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jan 11th, 2021 - about 5 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 1396714572 NPPES
South Carolina MEDICAID NP2821
South Carolina Other SC4253J577
South Carolina Other SC4253H895

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