Sandridge, Layne C.
Sandridge, Layne C. is an sole proprietor health care provider with primary practice located at 18700 N 64Th Dr Ste 105A , Glendale AZ 85308-7110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Sandridge, Layne C. can be contacted via phone (623) 688-5075.Contact Information
Primary practice address
18700 N 64Th Dr Ste 105A
Glendale AZ 85308-7110
Phone: (623) 688-5075
Fax: (623) 688-5075
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 40861 | Arizona |
Profile Details
NPI number | 1063689909 |
---|---|
LBN Legal business name | Sandridge, Layne C. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 9th, 2008 |
Last updated | Jan 4th, 2019 - about 5 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 | 1063689909 | NPPES |
Arizona | MEDICAID | 398159 | |
Arizona | Other | Z216660 |
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