Fornwalt, Sandra L.
Fornwalt, Sandra L. is an individual health care provider with primary practice located at 101 W 8Th Ave Suite 1100, Spokane WA 99204-2307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Fornwalt, Sandra L. can be contacted via phone (509) 474-4060.Contact Information
Primary practice address
101 W 8Th Ave Suite 1100
Spokane WA 99204-2307
Phone: (509) 474-4060
Fax: (509) 474-6198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | MD00049202 | Washington |
Profile Details
| NPI number | 1588660427 |
|---|---|
| LBN Legal business name | Fornwalt, Sandra L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | May 18th, 2021 - about 3 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 | 1588660427 | NPPES |
| Maryland | MEDICAID | 407023200 |
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