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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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