Sanders, Albert H

Sanders, Albert H is an individual health care provider with primary practice located at 2274 Highway 43 S , Picayune MS 39466-8141. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Sanders, Albert H can be contacted via phone (601) 798-3989.

Contact Information

Primary practice address
2274 Highway 43 S Picayune MS 39466-8141
Phone: (601) 798-3989
Fax: (601) 798-3964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R877250 Mississippi

Profile Details

NPI number 1447579495
LBN Legal business name Sanders, Albert H
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2010
Last updated Feb 20th, 2014 - about 12 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 1447579495 NPPES
Mississippi MEDICAID 09372043
Mississippi MEDICAID 2130145
Mississippi Other 9260512
Mississippi Other 12123429
Mississippi Other P00964914

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