Sandoval, Victor Manuel

Sandoval, Victor Manuel is an individual health care provider with primary practice located at 3600 Kolbe Rd Suite 011, Lorain OH 44053-1654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sandoval, Victor Manuel can be contacted via phone (440) 282-8355.

Contact Information

Primary practice address
3600 Kolbe Rd Suite 011 Lorain OH 44053-1654
Fax: (440) 282-8357
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35042370S Ohio

Profile Details

NPI number 1336126705
LBN Legal business name Sandoval, Victor Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336126705 NPPES
Ohio MEDICAID 0392383

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