Clancey, Sara

Clancey, Sara is an individual health care provider with primary practice located at 125 E Elm Ave Ste 103, Flagstaff AZ 86001-3258. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clancey, Sara can be contacted via phone (928) 779-1679.

Contact Information

Primary practice address
125 E Elm Ave Ste 103 Flagstaff AZ 86001-3258
Fax: (928) 779-2822
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3225 Arizona

Profile Details

NPI number 1518052232
LBN Legal business name Clancey, Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1518052232 NPPES
Arizona Other 853087 AHCCCS NUMBER

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