Roland, Sandra C
Roland, Sandra C is an individual health care provider with primary practice located at 121 S Saint Louis Blvd , South Bend IN 46617-2924. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Roland, Sandra C can be contacted via phone (574) 233-3123.Contact Information
Primary practice address
121 S Saint Louis Blvd
South Bend IN 46617-2924
Phone: (574) 233-3123
Fax: (574) 233-3125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01062856A | Indiana |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 101028 | Wisconsin |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01062856A | Indiana |
Profile Details
| NPI number | 1659321545 |
|---|---|
| LBN Legal business name | Roland, Sandra C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Aug 28th, 2023 - about last year |
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 | 1659321545 | NPPES |
| Indiana | MEDICAID | 200856110 |
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