Sandefur, Jacob David

Sandefur, Jacob David is an sole proprietor health care provider with primary practice located at 900 Sunset Dr , La Grande OR 97850-1387. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Sandefur, Jacob David can be contacted via phone (541) 963-8421.

Contact Information

Primary practice address
900 Sunset Dr La Grande OR 97850-1387
Phone: (541) 963-8421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 239503 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 202214569CRNAPP Oregon

Profile Details

NPI number 1770212417
LBN Legal business name Sandefur, Jacob David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2022
Last updated Sep 23rd, 2022 - 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.

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