Provider Demographics
NPI:1629632468
Name:SINSEL, MICHELLE L (RPH)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:SINSEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:BASSETT
Mailing Address - State:NE
Mailing Address - Zip Code:68714-5062
Mailing Address - Country:US
Mailing Address - Phone:402-684-2730
Mailing Address - Fax:402-684-2729
Practice Address - Street 1:103 W HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:NE
Practice Address - Zip Code:68714
Practice Address - Country:US
Practice Address - Phone:402-684-2730
Practice Address - Fax:402-684-2729
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist