Deboer, Sara
Deboer, Sara is an sole proprietor health care provider with primary practice located at 1407 Stony Brook Rd , Stony Brook NY 11790-2214. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Deboer, Sara can be contacted via phone (516) 650-0192.Contact Information
Primary practice address
1407 Stony Brook Rd
Stony Brook NY 11790-2214
Phone: (516) 650-0192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | 029815 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1598228082 |
|---|---|
| LBN Legal business name | Deboer, Sara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2019 |
| Last updated | Mar 4th, 2024 - about 9 months 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 | 1598228082 | NPPES |
| New York | Other | 1598228082 | NPI |
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