Sandall, Justin C

Sandall, Justin C is an individual health care provider with primary practice located at 929 N Saint Francis St , Wichita KS 67214-3821. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Sandall, Justin C can be contacted via phone (316) 268-5000.

Contact Information

Primary practice address
929 N Saint Francis St Wichita KS 67214-3821
Fax: (316) 291-4272
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0535487 Kansas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DO2077 Tennessee
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 0535487 Kansas

Profile Details

NPI number 1851595342
LBN Legal business name Sandall, Justin C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Jul 12th, 2012 - about 12 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 1851595342 NPPES
Kansas MEDICAID 200869340A

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