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Contact Information

SANDAL, INC
2910 EMERSON AVE
PARKERSBURG, WV26104-2519
 Phone: 304-428-1900
 Fax: 304-428-1976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for SANDAL, INC

NPI # 1003017492
LBN Legal business name SANDAL, INC
Authorized official ALLAN FIGUEROA - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2007
Last updated 11/08/2007 - About 19 years ago
Identifiers
WV License # 14444
WV Medicaid 0049665000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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