Sanders, Craig David

Sanders, Craig David is an individual health care provider with primary practice located at 1974 Walton Nicholson Pike , Independence KY 41051-7906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sanders, Craig David can be contacted via phone (859) 356-6800.

Contact Information

Primary practice address
1974 Walton Nicholson Pike Independence KY 41051-7906
Fax: (859) 363-4073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02741 Kentucky

Profile Details

NPI number 1821059791
LBN Legal business name Sanders, Craig David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Dec 17th, 2020 - about 4 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 1821059791 NPPES
Ohio MEDICAID 2131704
Ohio MEDICAID 64048184

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