Provider Demographics
NPI:1245564475
Name:SANCHEZ, JOANNE MICHELLE (IDC)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MICHELLE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 INLET QUAY APT F
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2095
Mailing Address - Country:US
Mailing Address - Phone:757-445-6081
Mailing Address - Fax:
Practice Address - Street 1:USS NITZE # 94
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09579-1200
Practice Address - Country:US
Practice Address - Phone:7574-456-0821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman