Sandoval, Derek
Sandoval, Derek is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4934. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Sandoval, Derek can be contacted via phone (505) 724-6125.Contact Information
Primary practice address
1100 Central Ave Se
Albuquerque NM 87106-4934
Phone: (505) 724-6125
Fax: (505) 724-6125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 54702 | New Mexico |
Profile Details
| NPI number | 1740745249 |
|---|---|
| LBN Legal business name | Sandoval, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2019 |
| Last updated | Feb 8th, 2019 - about 6 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.
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