Greathouse, Sara

Greathouse, Sara is an individual health care provider with primary practice located at 1000 Pine St , Texarkana TX 75501-5100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Greathouse, Sara can be contacted via phone (903) 798-7374.

Contact Information

Primary practice address
1000 Pine St Texarkana TX 75501-5100
Phone: (903) 798-7374
Fax: (903) 792-7630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X GRE104318036 Texas

Profile Details

NPI number 1467519165
LBN Legal business name Greathouse, Sara
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1467519165 NPPES
Arkansas MEDICAID 157987758

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