Sandas, Ilyne

Sandas, Ilyne is an sole proprietor health care provider with primary practice located at 9531 W 78Th St 125, Eden Prairie MN 55344-3810. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sandas, Ilyne can be contacted via phone (952) 941-2889.

Contact Information

Primary practice address
9531 W 78Th St 125 Eden Prairie MN 55344-3810
Phone: (952) 941-2889
Fax: (952) 402-9326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LP3248 Minnesota

Profile Details

NPI number 1114007382
LBN Legal business name Sandas, Ilyne
Credentials MALP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 9th, 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 1114007382 NPPES
Minnesota Other 22G21SA BLUE CROSS BLUE SHIELD OF
Minnesota Other 62-90595 BLUE CROSS BLUE SHIELD OF
Minnesota MEDICAID 1045950000 BLUE CROSS BLUE SHIELD OF
Minnesota Other 937020 BLUE CROSS BLUE SHIELD OF
Minnesota Other 81860 BLUE CROSS BLUE SHIELD OF

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