Dickey, Sandra M

Dickey, Sandra M is an individual health care provider with primary practice located at 1215 N Mcdonald Rd 202, Spokane Valley WA 99216-1557. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dickey, Sandra M can be contacted via phone (509) 455-8820.

Contact Information

Primary practice address
1215 N Mcdonald Rd 202 Spokane Valley WA 99216-1557
Phone: (509) 455-8820
Fax: (509) 838-4978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004027 Washington

Profile Details

NPI number 1023188182
LBN Legal business name Dickey, Sandra M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Mar 1st, 2021 - about 3 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 1023188182 NPPES
Idaho MEDICAID 806428300
Idaho MEDICAID 8331274

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