Sanderson, David J
Sanderson, David J is an individual health care provider with primary practice located at 712 South Cascade Street , Fergus Falls MN 56537-2813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sanderson, David J can be contacted via phone (218) 736-8000.Contact Information
Primary practice address
712 South Cascade Street
Fergus Falls MN 56537-2813
Phone: (218) 736-8000
Fax: (218) 736-8757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21639 | Minnesota |
Profile Details
| NPI number | 1801996715 |
|---|---|
| LBN Legal business name | Sanderson, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801996715 | NPPES |
| Minnesota | Other | 107116 | UCAREMN |
| Minnesota | MEDICAID | 147662401 | UCAREMN |
| Minnesota | MEDICAID | 0967679 | UCAREMN |
| Minnesota | Other | HP26725 | UCAREMN |
| Minnesota | MEDICAID | 0159499 | UCAREMN |
| Minnesota | Other | 01-23706 | UCAREMN |
| Minnesota | MEDICAID | 265283800 | UCAREMN |
| Minnesota | Other | 1008797 | UCAREMN |
| Minnesota | Other | 62780SA | UCAREMN |
| Minnesota | MEDICAID | 41091744413 | UCAREMN |
| Minnesota | Other | 01-00797 | UCAREMN |
| Minnesota | MEDICAID | 13217 | UCAREMN |
Popular Providers
-
Ellison, David W
712 South Cascade Street , Fergus Falls MN 56537-2813 -
Vukonich, Mark T
712 S Cascade St , Fergus Falls MN 56537 -
Gundersen, Mark R
712 South Cascade Street , Fergus Falls MN 56537-2813 -
Ecker, Matthew
2311 W Lincoln Ave , Fergus Falls MN 56537-1064 -
Lembcke, Daniel L
712 South Cascade Street , Fergus Falls MN 56537-2813 -
Peterson, Gregory James
1505 Pebble Lake Rd Suite 500, Fergus Falls MN 56537-3800 -
Vanvalkenburg, Michael J
712 South Cascade Street , Fergus Falls MN 56537-2813 -
Vennerstrom, Robert A
712 South Cascade Street , Fergus Falls MN 56537-2813