Sandy, Dianne

Sandy, Dianne is an individual health care provider with primary practice located at 2950 Cleveland Clinic Blvd Suite # A11/12, Weston FL 33331-3609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Sandy, Dianne can be contacted via phone (954) 659-5144.

Contact Information

Primary practice address
2950 Cleveland Clinic Blvd Suite # A11/12 Weston FL 33331-3609
Fax: (954) 659-6192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35-070238 Ohio

Profile Details

NPI number 1053413443
LBN Legal business name Sandy, Dianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Mar 26th, 2013 - about 12 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 1053413443 NPPES
Ohio MEDICAID 2307042

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