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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1063689909 NPPES
Arizona MEDICAID 398159
Arizona Other Z216660

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