Bristow, Sandee Jewel
Bristow, Sandee Jewel is an sole proprietor health care provider with primary practice located at 3661 South Miami Ave Suite 1008, Miami FL 33133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Bristow, Sandee Jewel can be contacted via phone (305) 974-5533.Contact Information
Primary practice address
3661 South Miami Ave Suite 1008
Miami FL 33133
Phone: (305) 974-5533
Fax: (305) 974-5553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD60152790 | Washington |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 104374 | Florida |
Profile Details
| NPI number | 1629263694 |
|---|---|
| LBN Legal business name | Bristow, Sandee Jewel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Jun 6th, 2024 - about 2 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 | 1629263694 | NPPES |
| Washington | Other | MD60152790 | MEDICAL LICENSE |
| Washington | MEDICAID | 1629263694 | MEDICAL LICENSE |
| Washington | Other | 0280818 | MEDICAL LICENSE |
| Washington | Other | ME104374 | MEDICAL LICENSE |
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