Sandefur, Richard M.

Sandefur, Richard M. is an individual health care provider with primary practice located at 4199 Gateway Blvd Ste 2400, Newburgh IN 47630-8954. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Sandefur, Richard M. can be contacted via phone (812) 858-4600.

Contact Information

Primary practice address
4199 Gateway Blvd Ste 2400 Newburgh IN 47630-8954
Phone: (812) 858-4600
Fax: (812) 858-4601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01030934A Indiana
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 01030934A Indiana

Profile Details

NPI number 1205839560
LBN Legal business name Sandefur, Richard M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 16th, 2016 - about 8 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 1205839560 NPPES
Indiana MEDICAID 100246580A

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