Sandoval Center For Medicine, Chartered

LBN: Sandoval Center For Medicine, Chartered
Sandoval Center For Medicine, Chartered is an health care organization with primary practice located at 1199 Shoreline Ln Ste. 310, Boise ID 83702-6813. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as the primary health care specialty. Sandoval Center For Medicine, Chartered can be contacted via phone (208) 333-1472, or through Sandoval, Jesse via phone (208) 333-1472.

Contact Information

Primary practice address
1199 Shoreline Ln Ste. 310 Boise ID 83702-6813
Phone: (208) 333-1472
Fax: (208) 333-7757
Website:
Map and Directions
Authorized official contact:
Name: Sandoval, Jesse Doctor of Osteopathy (DO)
Phone: (208) 333-1472

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X O-124 Idaho

Profile Details

NPI number 1306025036
LBN Legal business name Sandoval Center For Medicine, Chartered
DBA Doing business as
Authorized official Sandoval, Jesse Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2007
Last updated Mar 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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