Geubelle, Sandra Vazquez

Geubelle, Sandra Vazquez is an sole proprietor health care provider with primary practice located at 4005 High Resort Blvd Se , Rio Rancho NM 87124-5906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Geubelle, Sandra Vazquez can be contacted via phone (505) 462-6000.

Contact Information

Primary practice address
4005 High Resort Blvd Se Rio Rancho NM 87124-5906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2006-0008 New Mexico

Profile Details

NPI number 1154474401
LBN Legal business name Geubelle, Sandra Vazquez
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Feb 18th, 2022 - about 2 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 1154474401 NPPES
New Mexico MEDICAID 56301383

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