Sanderlin, Gary Stephen
Sanderlin, Gary Stephen is an sole proprietor health care provider with primary practice located at 201 W Mahoney St , Winslow AZ 86047-2631. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sanderlin, Gary Stephen can be contacted via phone (928) 289-4812.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Arizona |
Profile Details
| NPI number | 1124188677 |
|---|---|
| LBN Legal business name | Sanderlin, Gary Stephen |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124188677 | NPPES |
| Arizona | MEDICAID | 879752 |
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