Amundsen, Sandra Ann

Amundsen, Sandra Ann is an individual health care provider with primary practice located at 1729 Melrose Ave , East Lansing MI 48823-3727. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Amundsen, Sandra Ann can be contacted via phone (517) 324-3807.

Contact Information

Primary practice address
1729 Melrose Ave East Lansing MI 48823-3727
Fax: (517) 324-3820
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301005059 Michigan

Profile Details

NPI number 1437115714
LBN Legal business name Amundsen, Sandra Ann
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1437115714 NPPES
Michigan MEDICAID 1641065
Michigan Other 950C35002
Michigan Other 44-09226

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