Carollo, Sandra

Carollo, Sandra is an sole proprietor health care provider with primary practice located at 402 S 4Th Ave , Yakima WA 98902-3546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carollo, Sandra can be contacted via phone (509) 575-4084.

Contact Information

Primary practice address
402 S 4Th Ave Yakima WA 98902-3546
Phone: (509) 575-4084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30004738 Washington

Profile Details

NPI number 1952495277
LBN Legal business name Carollo, Sandra
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 21st, 2011 - about 13 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 1952495277 NPPES
Other 18214 GROUP HEALTH
Other 123346 GROUP HEALTH
Other 9392CA GROUP HEALTH
Other 911019392 GROUP HEALTH
MEDICAID 9622333 GROUP HEALTH
Other 9622333 GROUP HEALTH

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