Velazquez, Sandra J

Velazquez, Sandra J is an individual health care provider with primary practice located at 26 Queen St Medical, Worcester MA 01610-2473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Velazquez, Sandra J can be contacted via phone (508) 860-7700.

Contact Information

Primary practice address
26 Queen St Medical Worcester MA 01610-2473
Phone: (508) 860-7700
Fax: (508) 860-7990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 175591 Massachusetts

Profile Details

NPI number 1043220155
LBN Legal business name Velazquez, Sandra J
Credentials PEDIATRIC NP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 9th, 2007 - about 18 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 1043220155 NPPES
Massachusetts Other 0029009 NHP
Massachusetts Other 1300709 NHP
Massachusetts Other 47954 NHP
Massachusetts Other Y10141 NHP
Massachusetts Other 1300709 NHP
Massachusetts Other NP1925 NHP
Massachusetts MEDICAID 1300709 NHP

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