Sass, Kirsten Ingeborg

Sass, Kirsten Ingeborg is an individual health care provider with primary practice located at 205 Hospital Dr Suite A, Mc Kenzie TN 38201-1649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sass, Kirsten Ingeborg can be contacted via phone (731) 352-7907.

Contact Information

Primary practice address
205 Hospital Dr Suite A Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1262 Tennessee

Profile Details

NPI number 1801881131
LBN Legal business name Sass, Kirsten Ingeborg
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated May 20th, 2013 - about 11 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 1801881131 NPPES
Tennessee Other 3380640 MEDICARE GROUP
Tennessee MEDICAID 1510139 MEDICARE GROUP
Tennessee Other PA1262 MEDICARE GROUP
Tennessee Other 3380640 MEDICARE GROUP
Tennessee Other Q54706 MEDICARE GROUP

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