Sanders, Jennifer

Sanders, Jennifer is an sole proprietor health care provider with primary practice located at 7980 New La Grange Rd Ste 7 , Louisville KY 40222-4767. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sanders, Jennifer can be contacted via phone (502) 904-3509.

Contact Information

Primary practice address
7980 New La Grange Rd Ste 7 Louisville KY 40222-4767
Phone: (502) 904-3509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 172730 Kentucky

Profile Details

NPI number 1801930185
LBN Legal business name Sanders, Jennifer
Credentials LPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Jul 21st, 2022 - about 2 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 1801930185 NPPES
Kentucky MEDICAID 30605018

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