Sandoval, Juan

Sandoval, Juan is an sole proprietor health care provider with primary practice located at 1640 Powers Ferry Rd #7, Marietta GA 30067-5491. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Administrator. Nursing Service Providers / Registered Nurse is his primary health care specialty. Sandoval, Juan can be contacted via phone (770) 988-9200.

Contact Information

Primary practice address
1640 Powers Ferry Rd #7 Marietta GA 30067-5491
Phone: (770) 988-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN087426 Georgia
Nursing Service Providers / Administrator 163WA2000X RN030419 Arizona

Profile Details

NPI number 1063702975
LBN Legal business name Sandoval, Juan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2011
Last updated Apr 12th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063702975 NPPES
Georgia Other 163W00000X CONTRACT

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