Active NPIIndividual provider

Ms. Evita E Sandoval, ATC

Specialist/Technologist, Athletic Trainer in Lyndonville, Vermont

NPI Number1679706360
Practice location
569 Main Street, Lyndonville, VT 05851
Fax
802-626-5042
Last updated
May 3, 2016

Evita E. Sandoval is a Specialist/Technologist, Athletic Trainer based in Lyndonville, VT. Evita E. Sandoval practices in Lyndonville, VT and has the professional credentials of ATC. The NPI Number for Evita E. Sandoval is 1679706360 and holds a License No. 104-0000163 (VT). The current practice location address for Evita E. Sandoval is 569 Main Street, Lyndonville, VT 05851 and can be reached out via phone at 802-626-4224 and via fax at 802-626-5042.

Provider Profile Details

NPI Number
1679706360
Provider Name
Evita E. Sandoval
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
569 Main Street, Lyndonville, VT 05851
Phone Number
802-626-4224
Fax Number
802-626-5042
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
August 27, 2009
Last Update Date
May 3, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
569 Main Street
Lyndonville, VT 05851
State
Vermont
Zip
05851
Phone Number
802-626-4224
Fax Number
802-626-5042
Lyndonville, VT 05851Get directions →

Provider Business Mailing Address Details

Address
Po Box 1346
Lyndonville, VT 05851
City
Lyndonville
State
VT
Zip
05851
Phone Number
802-626-4224
Fax Number
802-626-5042

License Information

License Number
104-0000163
License State
VT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Evita E Sandoval, ATC?

The NPI number of Ms. Evita E Sandoval, ATC is 1679706360. It was assigned on August 27, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Evita E Sandoval, ATC?

Ms. Evita E Sandoval, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104-0000163.

Where does Ms. Evita E Sandoval, ATC practice?

The practice location is 569 Main Street, Lyndonville, VT 05851. The office can be reached at 802-626-4224 (phone) or 802-626-5042 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679706360 directly on the NPPES registry website.

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