Sanders, Craig C

Sanders, Craig C is an individual health care provider with primary practice located at 2 W Fern Ave , Redlands CA 92373-5916. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sanders, Craig C can be contacted via phone (909) 793-3311.

Contact Information

Primary practice address
2 W Fern Ave Redlands CA 92373-5916
Phone: (909) 793-3311
Fax: (909) 796-4158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15233 California

Profile Details

NPI number 1780624825
LBN Legal business name Sanders, Craig C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 21st, 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 1780624825 NPPES
California MEDICAID OPA182330

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