Provider Demographics
NPI:1508998238
Name:EINHELLIG, SANDRA LYNN (PA-C)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:LYNN
Last Name:EINHELLIG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:218 FOUST ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5475
Mailing Address - Country:US
Mailing Address - Phone:336-625-6072
Mailing Address - Fax:336-625-5511
Practice Address - Street 1:138 DUBLIN SQUARE RD
Practice Address - Street 2:SUITE A
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-8600
Practice Address - Country:US
Practice Address - Phone:336-626-2688
Practice Address - Fax:336-626-4100
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-00614363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
2771249Medicare PIN