Sandoval, Edmundo David

Sandoval, Edmundo David is an individual health care provider with primary practice located at Va Medical Center 2459 W Main St, Marion IL 62959. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Sandoval, Edmundo David can be contacted via phone (618) 997-5311.

Contact Information

Primary practice address
Va Medical Center 2459 W Main St Marion IL 62959
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 03607312 Illinois

Profile Details

NPI number 1437235660
LBN Legal business name Sandoval, Edmundo David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers