Mcgaughey, Sandra L

Mcgaughey, Sandra L is an individual health care provider with primary practice located at Mccannel Hall Room 100 2891 2Nd Avenue North Stop 9038, Grand Forks ND 58202-9038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcgaughey, Sandra L can be contacted via phone (701) 777-4500.

Contact Information

Primary practice address
Mccannel Hall Room 100 2891 2Nd Avenue North Stop 9038 Grand Forks ND 58202-9038
Phone: (701) 777-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0270 North Dakota

Profile Details

NPI number 1104885508
LBN Legal business name Mcgaughey, Sandra L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1104885508 NPPES
North Dakota MEDICAID 10300

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