Sandoval, David Marcelino
Sandoval, David Marcelino is an individual health care provider with primary practice located at 6710 W Okanogan Place , Kennewick WA 99336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Sandoval, David Marcelino can be contacted via phone (509) 783-2000.Contact Information
Primary practice address
6710 W Okanogan Place
Kennewick WA 99336
Phone: (509) 783-2000
Fax: (509) 783-2008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD00032746 | Washington |
Profile Details
| NPI number | 1003872094 |
|---|---|
| LBN Legal business name | Sandoval, David Marcelino |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jun 17th, 2015 - about 9 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 | 1003872094 | NPPES |
| Washington | MEDICAID | 1003872094 | |
| Washington | Other | 0284410 |
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