Kordis-Rubin, Sandra L

Kordis-Rubin, Sandra L is an individual health care provider with primary practice located at 201 Old Bank Rd , Milford OH 45150-2416. 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. Kordis-Rubin, Sandra L can be contacted via phone (513) 248-0100.

Contact Information

Primary practice address
201 Old Bank Rd Milford OH 45150-2416
Phone: (513) 248-0100
Fax: (513) 248-4334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.06675-NP Ohio

Profile Details

NPI number 1407817661
LBN Legal business name Kordis-Rubin, Sandra L
Credentials C-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Dec 15th, 2021 - about 4 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 1407817661 NPPES
Ohio MEDICAID 2584001

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