Boisseau, Sandra Lindsay

Boisseau, Sandra Lindsay is an individual health care provider with primary practice located at 4620 S Laburnum Ave , Richmond VA 23231-2424. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boisseau, Sandra Lindsay can be contacted via phone (804) 222-7474.

Contact Information

Primary practice address
4620 S Laburnum Ave Richmond VA 23231-2424
Phone: (804) 222-7474
Fax: (804) 222-0458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101031925 Virginia

Profile Details

NPI number 1215972427
LBN Legal business name Boisseau, Sandra Lindsay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Nov 24th, 2009 - about 17 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 1215972427 NPPES
Virginia MEDICAID 010199450
Virginia Other 4065057
Virginia Other 1426978
Virginia Other 333717
Virginia Other 45892
Virginia Other 293614
Virginia Other 79152
Virginia Other 4065057

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