Sanders, Jason B
Sanders, Jason B is an sole proprietor health care provider with primary practice located at 1132 N Church St , Greensboro NC 27401-1039. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sanders, Jason B can be contacted via phone (336) 369-7100.Contact Information
Primary practice address
1132 N Church St
Greensboro NC 27401-1039
Phone: (336) 369-7100
Fax: (336) 369-7101
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | NC 2005-00329 | North Carolina |
Other Service Providers / Specialist | 174400000X | SC TL27619 | South Carolina |
Profile Details
NPI number | 1619946738 |
---|---|
LBN Legal business name | Sanders, Jason B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 14th, 2006 |
Last updated | Jun 9th, 2015 - about 9 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 | 1619946738 | NPPES |
Other | P00230758 | RAILROAD MEDICARE | |
MEDICAID | 5901630 | RAILROAD MEDICARE | |
Other | 806691 | RAILROAD MEDICARE | |
Other | E333650310 | RAILROAD MEDICARE | |
Other | 140NW | RAILROAD MEDICARE | |
Other | 7521438 | RAILROAD MEDICARE | |
Other | 32567 | RAILROAD MEDICARE |
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