Sandberg, James William

Sandberg, James William is an individual health care provider with primary practice located at 2711 Randolph Rd Suite 301, Charlotte NC 28207-2034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Sandberg, James William can be contacted via phone (704) 316-5060.

Contact Information

Primary practice address
2711 Randolph Rd Suite 301 Charlotte NC 28207-2034
Fax: (704) 316-5061
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 9300306 North Carolina

Profile Details

NPI number 1083632301
LBN Legal business name Sandberg, James William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 1st, 2013 - about 11 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 1083632301 NPPES
North Carolina MEDICAID 8974458
North Carolina MEDICAID N93003

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