Tate, Sandra
Tate, Sandra is an individual health care provider with primary practice located at 3412 Office Park Dr , Marion IL 62959-6477. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent is her primary health care specialty. Tate, Sandra can be contacted via phone (618) 292-9999.Contact Information
Primary practice address
3412 Office Park Dr
Marion IL 62959-6477
Phone: (618) 292-9999
Fax: (618) 551-2757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209005279 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 041290556 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 277000849 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | 277000849 | Illinois |
Profile Details
| NPI number | 1326093493 |
|---|---|
| LBN Legal business name | Tate, Sandra |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | May 1st, 2023 - about last year |
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 | 1326093493 | NPPES |
| Illinois | Other | CG2264 | RR GROUP NUMBER |
| Illinois | Other | 207988 | RR GROUP NUMBER |
| Illinois | Other | P00220754 | RR GROUP NUMBER |
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