Sanderson, Cody James

Sanderson, Cody James is an individual health care provider with primary practice located at 1 Childrens Pl Ste 1B, Saint Louis MO 63110-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as his primary health care specialty. Sanderson, Cody James can be contacted via phone (314) 454-6062.

Contact Information

Primary practice address
1 Childrens Pl Ste 1B Saint Louis MO 63110-1002
Phone: (314) 454-6062
Fax: (314) 454-5054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 2022010832 Missouri

Profile Details

NPI number 1275064560
LBN Legal business name Sanderson, Cody James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated Dec 9th, 2022 - about 3 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 1275064560 NPPES
Missouri MEDICAID 200111990

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