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
Phone: (505) 462-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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 | 1154474401 | NPPES |
| New Mexico | MEDICAID | 56301383 |
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