Smith, Sandra L.

Smith, Sandra L. is an individual health care provider with primary practice located at 9500 Euclid Ave # J2-2 , Cleveland OH 44195-3494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Sandra L. can be contacted via phone (216) 538-2701.

Contact Information

Primary practice address
9500 Euclid Ave # J2-2 Cleveland OH 44195-3494
Phone: (216) 538-2701
Fax: (216) 636-6982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN185542 Ohio

Profile Details

NPI number 1346296134
LBN Legal business name Smith, Sandra L.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 2nd, 2020 - about 5 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 1346296134 NPPES
Ohio MEDICAID 2199286

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