Vanleuven, Sandra Lynn
Vanleuven, Sandra Lynn is an sole proprietor health care provider with primary practice located at 1743 Redstone Center Dr Suite 115, Park City UT 84098-7929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vanleuven, Sandra Lynn can be contacted via phone (435) 658-9200.Contact Information
Primary practice address
1743 Redstone Center Dr Suite 115
Park City UT 84098-7929
Phone: (435) 658-9200
Fax: (435) 658-9210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5426490-1205 | Utah |
Profile Details
| NPI number | 1538109715 |
|---|---|
| LBN Legal business name | Vanleuven, Sandra Lynn |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Nov 23rd, 2021 - about 3 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 | 1538109715 | NPPES |
| Utah | MEDICAID | D5371 |
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