Sandberg, John Robert

Sandberg, John Robert is an individual health care provider with primary practice located at 2700 Se Stratus Ave , Mcminnville OR 97128-6255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sandberg, John Robert can be contacted via phone (503) 472-6131.

Contact Information

Primary practice address
2700 Se Stratus Ave Mcminnville OR 97128-6255
Phone: (503) 472-6131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD11009 Oregon

Profile Details

NPI number 1841234424
LBN Legal business name Sandberg, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 19th, 2007 - about 17 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 1841234424 NPPES
Other D86804 GROUP HEALTH
MEDICAID XPY186307 GROUP HEALTH
Other 67676 GROUP HEALTH
Other JM9421 GROUP HEALTH
MEDICAID 197335 GROUP HEALTH
Other D86804 GROUP HEALTH
MEDICAID 8351447 GROUP HEALTH

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