Ckodre, Sandra Ann
Ckodre, Sandra Ann is an sole proprietor health care provider with primary practice located at 1275 2Nd Ave Sw , Tumwater WA 98512-6976. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ckodre, Sandra Ann can be contacted via phone (360) 292-1182.Contact Information
Primary practice address
1275 2Nd Ave Sw
Tumwater WA 98512-6976
Phone: (360) 292-1182
Fax: (360) 292-1184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 100188 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CG60150465 | Washington |
Profile Details
| NPI number | 1114447885 |
|---|---|
| LBN Legal business name | Ckodre, Sandra Ann |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2017 |
| Last updated | Jun 23rd, 2017 - about 9 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 | 1114447885 | NPPES |
| Washington | MEDICAID | 100188 |
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