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
Phone: (440) 282-8355
Fax: (440) 282-8357
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1336126705 | NPPES |
| Ohio | MEDICAID | 0392383 |
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