Crow, Sandra Gail
Crow, Sandra Gail is an individual health care provider with primary practice located at 412 E Faulkner St , El Dorado AR 71730-5802. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Crow, Sandra Gail can be contacted via phone (870) 881-4677.Contact Information
Primary practice address
412 E Faulkner St
El Dorado AR 71730-5802
Phone: (870) 881-4677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | PTA 1862 | Arkansas |
Profile Details
| NPI number | 1265674501 |
|---|---|
| LBN Legal business name | Crow, Sandra Gail |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2009 |
| Last updated | Mar 18th, 2010 - about 15 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 | 1265674501 | NPPES |
| Arkansas | MEDICAID | 145351721 |
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