Imperial, Sandy L

Imperial, Sandy L is an individual health care provider with primary practice located at 169 Martin Ave Ech Laboratory Sept, Ephrate PA 17522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Imperial, Sandy L can be contacted via phone (717) 738-6408.

Contact Information

Primary practice address
169 Martin Ave Ech Laboratory Sept Ephrate PA 17522
Phone: (717) 738-6408
Fax: (717) 738-6533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD061705L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X MD061705L Pennsylvania

Profile Details

NPI number 1194830356
LBN Legal business name Imperial, Sandy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
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 1194830356 NPPES
Pennsylvania MEDICAID 01890365

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