Jeppesen, Sandra C

Jeppesen, Sandra C is an individual health care provider with primary practice located at 326 Washington St , Norwich CT 06360-2740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Jeppesen, Sandra C can be contacted via phone (860) 889-8331.

Contact Information

Primary practice address
326 Washington St Norwich CT 06360-2740
Phone: (860) 889-8331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 000575 Connecticut

Profile Details

NPI number 1265600704
LBN Legal business name Jeppesen, Sandra C
Credentials APRN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2008
Last updated Mar 25th, 2015 - about 10 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 1265600704 NPPES
Connecticut MEDICAID 004199643
Connecticut Other 430033147

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