Sandoz, Charles Jeffrey
Sandoz, Charles Jeffrey is an individual health care provider with primary practice located at 530 Us Highway 41 Byp S Suite 4A, Venice FL 34285-4750. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sandoz, Charles Jeffrey can be contacted via phone (941) 244-9510.Contact Information
Primary practice address
530 Us Highway 41 Byp S Suite 4A
Venice FL 34285-4750
Phone: (941) 244-9510
Fax: (941) 244-9511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 9693 | Florida |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1946 | Louisiana |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4614 | Florida |
Profile Details
| NPI number | 1073758926 |
|---|---|
| LBN Legal business name | Sandoz, Charles Jeffrey |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2008 |
| Last updated | Jul 20th, 2009 - about 16 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 | 1073758926 | NPPES |
| Florida | Other | 4614 | CAP |
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