Kochanski, Sandra C

Kochanski, Sandra C is an individual health care provider with primary practice located at 620 Crossover Rd , Tupelo MS 38801-4944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kochanski, Sandra C can be contacted via phone (662) 620-7102.

Contact Information

Primary practice address
620 Crossover Rd Tupelo MS 38801-4944
Phone: (662) 620-7102
Fax: (662) 620-7106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C-7252 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12733 Mississippi

Profile Details

NPI number 1760467914
LBN Legal business name Kochanski, Sandra C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 10th, 2013 - about 11 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 1760467914 NPPES
Mississippi MEDICAID 02178568
Mississippi Other 51020
Mississippi Other P00060395
Mississippi MEDICAID 150448001

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