Sanderson, Sean Ondra
Sanderson, Sean Ondra is an individual health care provider with primary practice located at 25 Kinnelon Rd Ste K , Kinnelon NJ 07405-2337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Sanderson, Sean Ondra can be contacted via phone (973) 915-3301.Contact Information
Primary practice address
25 Kinnelon Rd Ste K
Kinnelon NJ 07405-2337
Phone: (973) 915-3301
Fax: (973) 915-3007
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD448094 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | D77551 | Maryland |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 25MA12040300 | New Jersey |
Profile Details
NPI number | 1548496995 |
---|---|
LBN Legal business name | Sanderson, Sean Ondra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 29th, 2009 |
Last updated | Mar 7th, 2024 - about last year |
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 | 1548496995 | NPPES |
Maryland | MEDICAID | 2143054 00 |
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