Provider Demographics
NPI:1265827646
Name:SANCHEZ, ISMAEL JR
Entity Type:Individual
Prefix:MR
First Name:ISMAEL
Middle Name:
Last Name:SANCHEZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 E MCDONALD AVE
Mailing Address - Street 2:APT B
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-1863
Mailing Address - Country:US
Mailing Address - Phone:702-327-4545
Mailing Address - Fax:
Practice Address - Street 1:1405 E MCDONALD AVE
Practice Address - Street 2:APT B
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-1863
Practice Address - Country:US
Practice Address - Phone:702-327-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor