Schaeffer, Sarah Ilene

Schaeffer, Sarah Ilene is an individual health care provider with primary practice located at Corner Of Rt N12 &N7 Fort Defiance Phs Hospital, Fort Defiance AZ 86504. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Schaeffer, Sarah Ilene can be contacted via phone (928) 729-8885.

Contact Information

Primary practice address
Corner Of Rt N12 &N7 Fort Defiance Phs Hospital Fort Defiance AZ 86504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 21720 Massachusetts

Profile Details

NPI number 1598841587
LBN Legal business name Schaeffer, Sarah Ilene
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - 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 1598841587 NPPES
New Mexico MEDICAID 93220367
New Mexico MEDICAID 136862

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