Sandy, Natasha Agnes
Sandy, Natasha Agnes is an sole proprietor health care provider with primary practice located at 8890 Centre Park Drive Suite 300B, Columbia MD 21045-2104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Sandy, Natasha Agnes can be contacted via phone (410) 696-7553.Contact Information
Primary practice address
8890 Centre Park Drive Suite 300B
Columbia MD 21045-2104
Phone: (410) 696-7553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D0071050 | Maryland |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 263711 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 263711 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0071050 | Maryland |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA08428600 | New Jersey |
Profile Details
| NPI number | 1245495365 |
|---|---|
| LBN Legal business name | Sandy, Natasha Agnes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Feb 12th, 2020 - about 4 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 | 1245495365 | NPPES |
| Maryland | Other | D0071050 | MARYLAND LICENSE |
| Maryland | Other | 263711 | MARYLAND LICENSE |
| Maryland | Other | 25MA08428600 | MARYLAND LICENSE |
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