Sandy, Jay B

Sandy, Jay B is an individual health care provider with primary practice located at 1818 Amherst St , Winchester VA 22601-2869. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Sandy, Jay B can be contacted via phone (540) 450-0072.

Contact Information

Primary practice address
1818 Amherst St Winchester VA 22601-2869
Phone: (540) 450-0072
Fax: (540) 450-0074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0017137339 Virginia

Profile Details

NPI number 1215917414
LBN Legal business name Sandy, Jay B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Feb 10th, 2009 - about 15 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 1215917414 NPPES
West Virginia MEDICAID 7102150000
West Virginia MEDICAID 1215917414
West Virginia Other P00657233

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