Sandoval, Charise R.
Sandoval, Charise R. is an individual health care provider with primary practice located at 14803 S Avenida Cucana , Sahuarita AZ 85629-8622. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Sandoval, Charise R. can be contacted via phone (520) 398-4528.Contact Information
Primary practice address
14803 S Avenida Cucana
Sahuarita AZ 85629-8622
Phone: (520) 398-4528
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 218323 | Arizona |
Profile Details
| NPI number | 1376739482 |
|---|---|
| LBN Legal business name | Sandoval, Charise R. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Sep 21st, 2007 - about 19 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 | 1376739482 | NPPES |
| Arizona | Other | 218323 | AHCCCS PROVIDER |
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