Sangueza, Omar Pastor
Sangueza, Omar Pastor is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Sangueza, Omar Pastor can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-7595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 200000967 | North Carolina |
Profile Details
| NPI number | 1770569436 |
|---|---|
| LBN Legal business name | Sangueza, Omar Pastor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Sep 23rd, 2010 - 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 | 1770569436 | NPPES |
| Virginia | MEDICAID | 006607080 | |
| Virginia | MEDICAID | 89126MP | |
| Virginia | MEDICAID | 006600531 | |
| Virginia | MEDICAID | G40302 |
Popular Providers
-
Romer, John Craig
2904 Westcorp Blvd Sw Suite 108, Huntsville AL 35805-6437 -
Hitchcock, Michael George
1900 S Hawthorne Rd Suite 366, Winston Salem NC 27103-3913 -
Williams, Burson T
3918 Montclair Rd Suite 100, Birmingham AL 35213-2425 -
Torres-Quinones, Marta I
13112 Evening Creek Dr S , San Diego CA 92128 -
Chae, Kyung Ai Mireille
801 York St , Manitowoc WI 54220-4630 -
Covington, Steve M
2701 N Decatur Rd , Decatur GA 30033-5918 -
Abernethy, John
1450 Professional Park Drive Suite 150, Winston Salem NC 27103-2943 -
Sonnier, George B
310 E Broadway Ste 200, Louisville KY 40202-1745