Estrada, Sandra
Estrada, Sandra is an individual health care provider with primary practice located at 103 Bacon St , Pawtucket RI 02860-5542. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Estrada, Sandra can be contacted via phone (401) 724-8400.Contact Information
Primary practice address
103 Bacon St
Pawtucket RI 02860-5542
Phone: (401) 724-8400
Fax: (401) 365-1100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1215116090 |
|---|---|
| LBN Legal business name | Estrada, Sandra |
| Credentials | MASTERS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2007 |
| Last updated | Oct 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215116090 | NPPES |
| Other | 30343 | BLUE CROSS CRISIS |
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