Scrape, Sara J.

Scrape, Sara J. is an individual health care provider with primary practice located at 9 Willow Bend Dr , Hattiesburg MS 39402-8552. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Scrape, Sara J. can be contacted via phone (601) 296-2552.

Contact Information

Primary practice address
9 Willow Bend Dr Hattiesburg MS 39402-8552
Phone: (601) 296-2552
Fax: (601) 296-2554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R718025 Mississippi

Profile Details

NPI number 1588615868
LBN Legal business name Scrape, Sara J.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 27th, 2011 - about 13 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 1588615868 NPPES
Louisiana MEDICAID 2113445
Louisiana MEDICAID 04385071
Louisiana Other 1180663
Louisiana Other P00791975

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