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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1972583029 NPPES
Wisconsin MEDICAID 32236700
Wisconsin MEDICAID 518209

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