Foote, Sage Cheyanne
Foote, Sage Cheyanne is an individual health care provider with primary practice located at 155 Crystal Run Rd , Middletown NY 10941-4028. She recently has 2 registered licenses in different health care specialties including 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. Foote, Sage Cheyanne can be contacted via phone (845) 703-6999.Contact Information
Primary practice address
155 Crystal Run Rd
Middletown NY 10941-4028
Phone: (845) 703-6999
Fax: (845) 796-5807
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 011531 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 011531 | New York |
Profile Details
NPI number | 1619021995 |
---|---|
LBN Legal business name | Foote, Sage Cheyanne |
Credentials | RPA-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2007 |
Last updated | Jun 14th, 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 | 1619021995 | NPPES |
New York | MEDICAID | 02849392 |
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