Sandstrom, Robert E

Sandstrom, Robert E is an individual health care provider with primary practice located at 1217 14Th Ave , Longview WA 98632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Sandstrom, Robert E can be contacted via phone (360) 425-5620.

Contact Information

Primary practice address
1217 14Th Ave Longview WA 98632
Fax: (360) 425-7219
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 16503 Washington

Profile Details

NPI number 1013958800
LBN Legal business name Sandstrom, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jan 28th, 2016 - about 9 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 1013958800 NPPES
Washington MEDICAID 8113201

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