Fooshee, Sandra L
Fooshee, Sandra L is an individual health care provider with primary practice located at 1201 Pleasant Valley Rd , Owensboro KY 42303-9811. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fooshee, Sandra L can be contacted via phone (270) 417-5911.Contact Information
Primary practice address
1201 Pleasant Valley Rd
Owensboro KY 42303-9811
Phone: (270) 417-5911
Fax: (270) 417-6497
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | PA708 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | KY PA # 708 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA708 | Kentucky |
Profile Details
NPI number | 1033183215 |
---|---|
LBN Legal business name | Fooshee, Sandra L |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Nov 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033183215 | NPPES |
Kentucky | MEDICAID | 7100024630 | |
Kentucky | Other | 0647603 |
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