Mandichak, Sally M

Mandichak, Sally M is an sole proprietor health care provider with primary practice located at 740 California Ave , Reno NV 89509. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Mandichak, Sally M can be contacted via phone (775) 233-5300.

Contact Information

Primary practice address
740 California Ave Reno NV 89509
Phone: (775) 233-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101267386 Virginia

Profile Details

NPI number 1124547930
LBN Legal business name Mandichak, Sally M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2017
Last updated Dec 4th, 2023 - 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.

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