Sandberg, Stephanie L
Sandberg, Stephanie L is an sole proprietor health care provider with primary practice located at 20 Progress Point Pkwy Suite 206, O Fallon MO 63368-2206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Sandberg, Stephanie L can be contacted via phone (636) 344-1073.Contact Information
Primary practice address
20 Progress Point Pkwy Suite 206
O Fallon MO 63368-2206
Phone: (636) 344-1073
Fax: (636) 344-1075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2004012744 | Missouri |
Profile Details
| NPI number | 1649273160 |
|---|---|
| LBN Legal business name | Sandberg, Stephanie L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2005 |
| Last updated | Feb 4th, 2021 - about 3 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 | 1649273160 | NPPES |
| Missouri | MEDICAID | 208778902 |
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