Shortt, Sandra
Shortt, Sandra is an individual health care provider with primary practice located at 3901 Hoyt Ave , Everett WA 98201-4918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shortt, Sandra can be contacted via phone (425) 339-5420.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301049061 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00021927 | Washington |
Profile Details
| NPI number | 1669442877 |
|---|---|
| LBN Legal business name | Shortt, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Nov 21st, 2014 - about 10 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 | 1669442877 | NPPES |
| Michigan | Other | 0B56065004 | MEDICARE PART B |
| Michigan | MEDICAID | 4254388 | MEDICARE PART B |
| Michigan | Other | SS049061 | MEDICARE PART B |
| Michigan | MEDICAID | 2037672 | MEDICARE PART B |
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