Konieczny, Sandy

Konieczny, Sandy is an individual health care provider with primary practice located at 1835 Miracle Mile , Springfield OH 45503-2807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Konieczny, Sandy can be contacted via phone (937) 390-7960.

Contact Information

Primary practice address
1835 Miracle Mile Springfield OH 45503-2807
Fax: (937) 390-7971
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0009439 Ohio

Profile Details

NPI number 1184615155
LBN Legal business name Konieczny, Sandy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
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 1184615155 NPPES
Ohio Other 000000333500 ANTHEM
Ohio Other 0007703498 ANTHEM

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