Sandoval, Juan
Sandoval, Juan is an sole proprietor health care provider with primary practice located at 1640 Powers Ferry Rd #7, Marietta GA 30067-5491. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Administrator. Nursing Service Providers / Registered Nurse is his primary health care specialty. Sandoval, Juan can be contacted via phone (770) 988-9200.Contact Information
Primary practice address
1640 Powers Ferry Rd #7
Marietta GA 30067-5491
Phone: (770) 988-9200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN087426 | Georgia |
Nursing Service Providers / Administrator | 163WA2000X | RN030419 | Arizona |
Profile Details
NPI number | 1063702975 |
---|---|
LBN Legal business name | Sandoval, Juan |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 12th, 2011 |
Last updated | Apr 12th, 2011 - about 13 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 | 1063702975 | NPPES |
Georgia | Other | 163W00000X | CONTRACT |
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