Squires, Sandra L

Squires, Sandra L is an individual health care provider with primary practice located at 175 High St , Newton NJ 07860-1004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Squires, Sandra L can be contacted via phone (973) 579-8975.

Contact Information

Primary practice address
175 High St Newton NJ 07860-1004
Fax: (973) 579-8423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MAO58291 New Jersey

Profile Details

NPI number 1720057946
LBN Legal business name Squires, Sandra L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 4th, 2010 - about 14 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 1720057946 NPPES
New Jersey MEDICAID 5603005

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