Sandusky, Marie

Sandusky, Marie is an sole proprietor health care provider with primary practice located at 2801 S University Ave Dsc 102, Little Rock AR 72204-1000. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sandusky, Marie can be contacted via phone (501) 569-3188.

Contact Information

Primary practice address
2801 S University Ave Dsc 102 Little Rock AR 72204-1000
Phone: (501) 569-3188
Fax: (501) 683-7654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R28118 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A01089 ANP Arkansas

Profile Details

NPI number 1548443393
LBN Legal business name Sandusky, Marie
Credentials RN, APN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2007
Last updated Apr 16th, 2008 - 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 1548443393 NPPES
Other A01089 ANP APN

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