Sandoval, Anthony B
Sandoval, Anthony B is an sole proprietor health care provider with primary practice located at 3917 West Rd Ste 101, Los Alamos NM 87544-2275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sandoval, Anthony B can be contacted via phone (505) 662-7611.Contact Information
Primary practice address
3917 West Rd Ste 101
Los Alamos NM 87544-2275
Phone: (505) 662-7611
Fax: (505) 662-7507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 84-112 | New Mexico |
Profile Details
| NPI number | 1528062346 |
|---|---|
| LBN Legal business name | Sandoval, Anthony B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Oct 19th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528062346 | NPPES |
| New Mexico | MEDICAID | 39461 |
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