Untied, Sandra L
Untied, Sandra L is an individual health care provider with primary practice located at 2845 Bell St , Zanesville OH 43701-1720. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Untied, Sandra L can be contacted via phone (740) 454-9766.Contact Information
Primary practice address
2845 Bell St
Zanesville OH 43701-1720
Phone: (740) 454-9766
Fax: (740) 588-6452
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I7480 | Ohio |
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | RN100389 | Ohio |
Profile Details
NPI number | 1366410144 |
---|---|
LBN Legal business name | Untied, Sandra L |
Credentials | RN, BSN, MSW, LISW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1366410144 | NPPES |
Ohio | Other | 218931 | TRICARE/MHN PIN |
Ohio | Other | 9071405 | TRICARE/MHN PIN |
Ohio | Other | 000000218890 | TRICARE/MHN PIN |
Ohio | Other | 246101 | TRICARE/MHN PIN |
Ohio | Other | 7602165 | TRICARE/MHN PIN |
Ohio | Other | 2032248 | TRICARE/MHN PIN |
Ohio | Other | Y555056 | TRICARE/MHN PIN |
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