Sandall, Blair James
Sandall, Blair James is an individual health care provider with primary practice located at 1347 N. Greenfield Rd Suite 101, Mesa AZ 85205-4072. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sandall, Blair James can be contacted via phone (480) 699-8762.Contact Information
Primary practice address
1347 N. Greenfield Rd Suite 101
Mesa AZ 85205-4072
Phone: (480) 699-8762
Fax: (480) 699-8350
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0704 | Arizona |
Profile Details
NPI number | 1043445091 |
---|---|
LBN Legal business name | Sandall, Blair James |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2009 |
Last updated | Aug 2nd, 2016 - about 9 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 | 1043445091 | NPPES |
Arizona | MEDICAID | 531450 |
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