Sandoval, Anna Alyse

Sandoval, Anna Alyse is an individual health care provider with primary practice located at 520 Valley View Dr , Moline IL 61265-6152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sandoval, Anna Alyse can be contacted via phone (618) 317-1063.

Contact Information

Primary practice address
520 Valley View Dr Moline IL 61265-6152
Phone: (618) 317-1063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005225 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1992109326
LBN Legal business name Sandoval, Anna Alyse
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2014
Last updated Aug 30th, 2021 - about 5 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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