Shandler, Laurence

Shandler, Laurence is an individual health care provider with primary practice located at 901 W Alameda St Ste 25 , Santa Fe NM 87501-1673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shandler, Laurence can be contacted via phone (505) 988-8869.

Contact Information

Primary practice address
901 W Alameda St Ste 25 Santa Fe NM 87501-1673
Phone: (505) 988-8869
Fax: (505) 982-6298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72227 New Mexico

Profile Details

NPI number 1770678609
LBN Legal business name Shandler, Laurence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 7th, 2019 - about 7 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 1770678609 NPPES
New Mexico Other CS00007212 NM BOARD OF PHARMACY
New Mexico MEDICAID 25754 NM BOARD OF PHARMACY
New Mexico Other 72227 NM BOARD OF PHARMACY

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