Tinney, Sandra J

Tinney, Sandra J is an individual health care provider with primary practice located at 3202 Mcintosh Circle Suite 101, Joplin MO 64804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tinney, Sandra J can be contacted via phone (417) 781-9200.

Contact Information

Primary practice address
3202 Mcintosh Circle Suite 101 Joplin MO 64804
Phone: (417) 781-9200
Fax: (417) 781-9471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 096202 Missouri

Profile Details

NPI number 1053347542
LBN Legal business name Tinney, Sandra J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jul 20th, 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 1053347542 NPPES
Oklahoma MEDICAID 100052950A
Oklahoma MEDICAID 100299510A
Oklahoma Other 132296
Oklahoma Other 500008264
Oklahoma MEDICAID 428931307

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