Van Swol, Sanne F

Van Swol, Sanne F is an individual health care provider with primary practice located at 211 Sudderth Dr , Ruidoso NM 88345-6002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Van Swol, Sanne F can be contacted via phone (575) 257-8200.

Contact Information

Primary practice address
211 Sudderth Dr Ruidoso NM 88345-6002
Phone: (575) 257-8200
Fax: (575) 630-4233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2019-0073 New Mexico

Profile Details

NPI number 1609417666
LBN Legal business name Van Swol, Sanne F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2019
Last updated Feb 18th, 2022 - about 3 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 1609417666 NPPES
New Mexico MEDICAID 59073268

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