Ristau, Sandra

Ristau, Sandra is an individual health care provider with primary practice located at 1405 Library Cir , Grand Forks ND 58201-6317. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Ristau, Sandra can be contacted via phone (701) 330-8552.

Contact Information

Primary practice address
1405 Library Cir Grand Forks ND 58201-6317
Phone: (701) 330-8552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X North Dakota
Other Service Providers / Specialist 174400000X North Dakota
Other Service Providers / Case Manager/Care Coordinator 171M00000X North Dakota

Profile Details

NPI number 1053908830
LBN Legal business name Ristau, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2020
Last updated Apr 1st, 2024 - about 5 months 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 1053908830 NPPES
North Dakota MEDICAID 171M00000X

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