La Rocque, Sandra
La Rocque, Sandra is an individual health care provider with primary practice located at 1303 38Th Ave N , Myrtle Beach SC 29577-1315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. La Rocque, Sandra can be contacted via phone (843) 445-1697.Contact Information
Primary practice address
1303 38Th Ave N
Myrtle Beach SC 29577-1315
Phone: (843) 445-1697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5004067 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26787A | South Carolina |
Profile Details
| NPI number | 1093962086 |
|---|---|
| LBN Legal business name | La Rocque, Sandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2008 |
| Last updated | Dec 20th, 2022 - about 2 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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