Gadson, Sandra L
Gadson, Sandra L is an individual health care provider with primary practice located at 90 W 86Th Ave , Merrillville IN 46410-7086. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Gadson, Sandra L can be contacted via phone (219) 791-1555.Contact Information
Primary practice address
90 W 86Th Ave
Merrillville IN 46410-7086
Phone: (219) 791-1555
Fax: (219) 791-1560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036058441 | Illinois |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 10129625A | Indiana |
Profile Details
| NPI number | 1841297348 |
|---|---|
| LBN Legal business name | Gadson, Sandra L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | May 31st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841297348 | NPPES |
| Illinois | Other | 090001077 | BCBS ILLINOIS |
| Illinois | Other | 000000095599 | BCBS ILLINOIS |
| Illinois | MEDICAID | 100360450B | BCBS ILLINOIS |
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