Haworth, Sandra Kay

Haworth, Sandra Kay is an individual health care provider with primary practice located at 942 W Chestnut St , Brockton MA 02301-5567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Haworth, Sandra Kay can be contacted via phone (508) 583-3005.

Contact Information

Primary practice address
942 W Chestnut St Brockton MA 02301-5567
Fax: (508) 583-9809
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 145870 Massachusetts

Profile Details

NPI number 1801841697
LBN Legal business name Haworth, Sandra Kay
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801841697 NPPES
Massachusetts Other NP2432 BLUE CROSS & BLUE SHIELD

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