Sandrock, Todd A.

Sandrock, Todd A. is an sole proprietor health care provider with primary practice located at 861 Health Park Blvd , Grand Blanc MI 48439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sandrock, Todd A. can be contacted via phone (810) 953-0500.

Contact Information

Primary practice address
861 Health Park Blvd Grand Blanc MI 48439
Phone: (810) 953-0500
Fax: (810) 953-0031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X TS012492 Michigan

Profile Details

NPI number 1235131541
LBN Legal business name Sandrock, Todd A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Jun 27th, 2018 - about 6 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 1235131541 NPPES
Michigan Other 383602347 CHAMPUS/TRICARE
Michigan Other 0990587 CHAMPUS/TRICARE
Michigan Other F45154 CHAMPUS/TRICARE
Michigan Other 131822 CHAMPUS/TRICARE
Michigan MEDICAID 4304480 CHAMPUS/TRICARE
Michigan Other 930116191 CHAMPUS/TRICARE
Michigan Other C7778 CHAMPUS/TRICARE
Michigan Other P104439 CHAMPUS/TRICARE
Michigan Other 383602347 CHAMPUS/TRICARE
Michigan Other F45154 CHAMPUS/TRICARE
Michigan Other 20-5250218-5 CHAMPUS/TRICARE
Michigan Other 4577138 CHAMPUS/TRICARE

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