Nandin, Samuel Ponce
Nandin, Samuel Ponce is an sole proprietor health care provider with primary practice located at 13851 W La Mar Blvd Ste C, Goodyear AZ 85338-1389. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Nandin, Samuel Ponce can be contacted via phone (623) 925-2622.Contact Information
Primary practice address
13851 W La Mar Blvd Ste C
Goodyear AZ 85338-1389
Phone: (623) 925-2622
Fax: (623) 925-9260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | AZ15582 | Arizona |
Profile Details
| NPI number | 1124180054 |
|---|---|
| LBN Legal business name | Nandin, Samuel Ponce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jun 21st, 2018 - about 8 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 | 1124180054 | NPPES |
| Arizona | Other | 106223600 | OWCP |
| Arizona | Other | 562491245 | OWCP |
| Arizona | Other | 562491245 | OWCP |
| Arizona | Other | 562491245 | OWCP |
| Arizona | Other | 562491245 | OWCP |
| Arizona | Other | AZ0766630 | OWCP |
| Arizona | Other | 562491245 | OWCP |
| Arizona | Other | 273607001 | OWCP |
| Arizona | Other | 562491245 | OWCP |
| Arizona | Other | 2Z1748 | OWCP |
| Arizona | Other | 5008111 | OWCP |
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