Sandberg, Kelly Crane
Sandberg, Kelly Crane is an sole proprietor health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Sandberg, Kelly Crane can be contacted via phone (937) 641-4000.Contact Information
Primary practice address
1 Childrens Plz
Dayton OH 45404-1815
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 35.094745 | Ohio |
Profile Details
| NPI number | 1922269133 |
|---|---|
| LBN Legal business name | Sandberg, Kelly Crane |
| Credentials | MD, MSC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2008 |
| Last updated | Oct 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922269133 | NPPES |
| Ohio | MEDICAID | 0106014 |
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