Victor, Sandra J

Victor, Sandra J is an individual health care provider with primary practice located at 148 W North St , Springfield OH 45504-2547. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Victor, Sandra J can be contacted via phone (937) 323-5001.

Contact Information

Primary practice address
148 W North St Springfield OH 45504-2547
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35076026V Ohio
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 35076026 Ohio

Profile Details

NPI number 1215939525
LBN Legal business name Victor, Sandra J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 19th, 2021 - about 4 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 1215939525 NPPES
Ohio MEDICAID 2143022

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