Provider Demographics
NPI:1811949985
Name:SANCHEZ, JOHN ALBERTO (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ALBERTO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 S CROATAN HWY STE A
Mailing Address - Street 2:
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-9045
Mailing Address - Country:US
Mailing Address - Phone:252-449-6115
Mailing Address - Fax:252-449-6116
Practice Address - Street 1:5002 S CROATAN HWY STE A
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-9045
Practice Address - Country:US
Practice Address - Phone:252-449-6115
Practice Address - Fax:252-449-6116
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200593207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89015PEMedicaid
H59014Medicare UPIN
NCP00184329Medicare PIN
2404267AMedicare PIN