Leyo Dupont, Sandra A
Leyo Dupont, Sandra A is an individual health care provider with primary practice located at 1055 N La Canada Dr Ste 101 , Green Valley AZ 85614-3700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Leyo Dupont, Sandra A can be contacted via phone (520) 589-2039.Contact Information
Primary practice address
1055 N La Canada Dr Ste 101
Green Valley AZ 85614-3700
Phone: (520) 589-2039
Fax: (520) 589-2039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 26931 | Arizona |
Profile Details
| NPI number | 1558330365 |
|---|---|
| LBN Legal business name | Leyo Dupont, Sandra A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jul 1st, 2020 - about 4 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 | 1558330365 | NPPES |
| Arizona | MEDICAID | 791659 | |
| Arizona | Other | P00407772 |
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