Spedale, Sandra L

Spedale, Sandra L is an individual health care provider with primary practice located at 1111 Medical Center Blvd Suite S850, Marrero LA 70072-3151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Spedale, Sandra L can be contacted via phone (504) 349-6450.

Contact Information

Primary practice address
1111 Medical Center Blvd Suite S850 Marrero LA 70072-3151
Phone: (504) 349-6450
Fax: (504) 349-6454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 022008 Louisiana

Profile Details

NPI number 1104812544
LBN Legal business name Spedale, Sandra L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 8th, 2007 - about 19 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 1104812544 NPPES
Louisiana MEDICAID 1678562

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