Sandstrom, Todd Alan
Sandstrom, Todd Alan is an individual health care provider with primary practice located at 14420 W Meeker Blvd Suite 200, Sun City West AZ 85375-5286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sandstrom, Todd Alan can be contacted via phone (623) 975-8960.Contact Information
Primary practice address
14420 W Meeker Blvd Suite 200
Sun City West AZ 85375-5286
Phone: (623) 975-8960
Fax: (623) 975-8959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 37740 | Wisconsin |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 43169 | Arizona |
Profile Details
NPI number | 1972583029 |
---|---|
LBN Legal business name | Sandstrom, Todd Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2006 |
Last updated | Jan 5th, 2012 - about 12 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 | 1972583029 | NPPES |
Wisconsin | MEDICAID | 32236700 | |
Wisconsin | MEDICAID | 518209 |
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