Sanders, Malcom S

Sanders, Malcom S is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105-0401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sanders, Malcom S can be contacted via phone (605) 338-5488.

Contact Information

Primary practice address
1305 W 18Th St Sioux Falls SD 57105-0401
Phone: (605) 338-5488
Fax: (605) 373-9971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4818 South Dakota

Profile Details

NPI number 1215903695
LBN Legal business name Sanders, Malcom S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 13th, 2017 - about 7 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 1215903695 NPPES
South Dakota MEDICAID 5700910
South Dakota Other 0007578
South Dakota Other 45F835A
South Dakota MEDICAID 517762600
South Dakota MEDICAID 1632861-01
South Dakota MEDICAID 0535625

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