Sandak, Michael David

Sandak, Michael David is an sole proprietor health care provider with primary practice located at 7601 Southcrest Pkwy , Southaven MS 38671-4739. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Sandak, Michael David can be contacted via phone (662) 772-3607.

Contact Information

Primary practice address
7601 Southcrest Pkwy Southaven MS 38671-4739
Phone: (662) 772-3607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1821784265
LBN Legal business name Sandak, Michael David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2023
Last updated Jun 9th, 2023 - 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.

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