West, Sandra T

West, Sandra T is an sole proprietor health care provider with primary practice located at 1714 Beech Ave , Elkins Park PA 19027-1076. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. West, Sandra T can be contacted via phone (215) 782-8799.

Contact Information

Primary practice address
1714 Beech Ave Elkins Park PA 19027-1076
Fax: (215) 782-8799
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG 1060 Pennsylvania

Profile Details

NPI number 1386605632
LBN Legal business name West, Sandra T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386605632 NPPES
Pennsylvania MEDICAID 001460462 0005
Pennsylvania Other 069637200
Pennsylvania Other 753973
Pennsylvania Other WE753973
Pennsylvania Other 15194
Pennsylvania Other PA1060
Pennsylvania Other 1047722
Pennsylvania Other 44012
Pennsylvania Other 472579

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