Sandoval, Dennis M
Sandoval, Dennis M is an individual health care provider with primary practice located at 6500 Jefferson St Ne Ste 100, Albuquerque NM 87109-3486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sandoval, Dennis M can be contacted via phone (505) 875-0103.Contact Information
Primary practice address
6500 Jefferson St Ne Ste 100
Albuquerque NM 87109-3486
Phone: (505) 875-0103
Fax: (505) 875-0388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 78255 | New Mexico |
Profile Details
| NPI number | 1205819687 |
|---|---|
| LBN Legal business name | Sandoval, Dennis M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1205819687 | NPPES |
| New Mexico | MEDICAID | 19679 |
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