Lerch, Sandra Theresa

Lerch, Sandra Theresa is an sole proprietor health care provider with primary practice located at 320 E Broadway Ste 1C, Jackson WY 83001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lerch, Sandra Theresa can be contacted via phone (307) 733-4585.

Contact Information

Primary practice address
320 E Broadway Ste 1C Jackson WY 83001
Phone: (307) 733-4585
Fax: (307) 733-4787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X WY180540164 Wyoming

Profile Details

NPI number 1578503850
LBN Legal business name Lerch, Sandra Theresa
Credentials C FNP CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Oct 31st, 2016 - about 9 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 1578503850 NPPES
Wyoming MEDICAID 11694100

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