Lax, Sanford Jonathan

Lax, Sanford Jonathan is an individual health care provider with primary practice located at 1720 Nashville Pike Ste 100 , Gallatin TN 37066-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lax, Sanford Jonathan can be contacted via phone (615) 230-8601.

Contact Information

Primary practice address
1720 Nashville Pike Ste 100 Gallatin TN 37066-3154
Phone: (615) 230-8601
Fax: (615) 230-8670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301407434 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 59735 Tennessee

Profile Details

NPI number 1871570903
LBN Legal business name Lax, Sanford Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Sep 17th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871570903 NPPES
Michigan MEDICAID 3454731
Michigan Other 0806365081

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