Sandoval, Rebeca J

Sandoval, Rebeca J is an individual health care provider with primary practice located at 127 E Avenue B Ste B , Hutchinson KS 67501-7422. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sandoval, Rebeca J can be contacted via phone (620) 259-7993.

Contact Information

Primary practice address
127 E Avenue B Ste B Hutchinson KS 67501-7422
Phone: (620) 259-7993
Fax: (620) 259-7994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3874 Kansas

Profile Details

NPI number 1306943345
LBN Legal business name Sandoval, Rebeca J
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 12th, 2012 - about 14 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 1306943345 NPPES
Kansas MEDICAID 100098120A
Kansas Other 393291

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