Sandoval, Marie
Sandoval, Marie is an individual health care provider with primary practice located at 1 Timber Ln , South Burlington VT 05403-7205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sandoval, Marie can be contacted via phone (802) 847-4714.Contact Information
Primary practice address
1 Timber Ln
South Burlington VT 05403-7205
Phone: (802) 847-4714
Fax: (802) 847-6333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0420009692 | Vermont |
Profile Details
| NPI number | 1982612313 |
|---|---|
| LBN Legal business name | Sandoval, Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982612313 | NPPES |
| Vermont | MEDICAID | 0VN1761 |
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