Sandlund, Kristofer Gibson

Sandlund, Kristofer Gibson is an sole proprietor health care provider with primary practice located at 1215 Newark Road , Zanesville OH 43701-2861. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Sandlund, Kristofer Gibson can be contacted via phone (740) 452-7359.

Contact Information

Primary practice address
1215 Newark Road Zanesville OH 43701-2861
Fax: (740) 452-7309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35048739S Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35048739S Ohio

Profile Details

NPI number 1407844749
LBN Legal business name Sandlund, Kristofer Gibson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Apr 28th, 2020 - about 5 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 1407844749 NPPES
Ohio MEDICAID 0549142

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