Nienaber, Sandra S

Nienaber, Sandra S is an individual health care provider with primary practice located at 420 E State St Winnebago County Jail, Rockford IL 61104-1015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nienaber, Sandra S can be contacted via phone (815) 319-6634.

Contact Information

Primary practice address
420 E State St Winnebago County Jail Rockford IL 61104-1015
Phone: (815) 319-6634
Fax: (815) 395-5644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209005207 Illinois

Profile Details

NPI number 1104015742
LBN Legal business name Nienaber, Sandra S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2007
Last updated Oct 19th, 2007 - about 18 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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