Sandal, Inc in Parkersburg - Preferred Provider Organization

Sandal, Inc - NPI 1003017492

Sandal, Inc is a Preferred Provider Organization in Parkersburg, . Sandal, Inc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Sandal, Inc is 1003017492. The last update date is 2007-11-08.

Sandal, Inc's current location address is 2910 Emerson Ave, Parkersburg, . You can contact this provider via phone number 3044281900 and fax number 3044281976. The mailing address for Sandal, Inc is 2910 Emerson Ave, Parkersburg, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Sandal, Inc
Address 2910 Emerson Ave, Parkersburg,
Phone Number 3044281900
Fax Number 3044281976
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Figueroa Dip Allan
Credentials M.D.
Telephone Number 3044281900

NPI Number Detail

NPI Number 1003017492
Provider Enumeration Date 2007-05-31
Last Updated Date 2007-11-08

Provider Mailing Address Detail

Address 2910 Emerson Ave
City Parkersburg
State (WV)
Post Code 261042519
Phone Number 3044281900
Fax Number 3044281976

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Licence No 14444
Definition:
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
49665000 WV --

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FAQs about Sandal, Inc

What is the unique provider identifier assigned to Sandal, Inc?

The Sandal, Inc has been issued the NPI (National Provider Identifier) 1003017492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Sandal, Inc's facilities are geographically located?

The facilities of Sandal, Inc are physically situated at the following location: 2910 Emerson Ave, Parkersburg, WV, 261042519.

What is Sandal, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sandal, Inc's area of specialization is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this field of practice is 305R00000X.

On what date did Sandal, Inc receive its 1003017492 assignment from the Centers for Medicare & Medicaid Services?

The Sandal, Inc was assigned its 1003017492 on 2007-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Sandal, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sandal, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-08.

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