Sanderson, David Gregory

Sanderson, David Gregory is an sole proprietor health care provider with primary practice located at 238 Chestnut St , St Marys PA 15857-1708. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sanderson, David Gregory can be contacted via phone (814) 834-7240.

Contact Information

Primary practice address
238 Chestnut St St Marys PA 15857-1708
Phone: (814) 834-7240
Fax: (814) 781-6581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC004253L Pennsylvania

Profile Details

NPI number 1942207642
LBN Legal business name Sanderson, David Gregory
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Jun 19th, 2008 - about 16 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 1942207642 NPPES
Pennsylvania MEDICAID 0016017850007

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