Glidden, Sandra Lee
Glidden, Sandra Lee is an sole proprietor health care provider with primary practice located at 141 W Pioneer Ave , Homer AK 99603-7525. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Glidden, Sandra Lee can be contacted via phone (907) 235-7146.Contact Information
Primary practice address
141 W Pioneer Ave
Homer AK 99603-7525
Phone: (907) 235-7146
Fax: (907) 235-7186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 102493 | Alaska |
Profile Details
| NPI number | 1205507480 |
|---|---|
| LBN Legal business name | Glidden, Sandra Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2021 |
| Last updated | Sep 27th, 2021 - about 4 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 | 1205507480 | NPPES |
| Alaska | Other | 0220653 | AKDL |
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