Anderson, Sandy M

Anderson, Sandy M is an individual health care provider with primary practice located at 7271 N Main St Ste 2 , Dayton OH 45415-2561. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Anderson, Sandy M can be contacted via phone (937) 991-0082.

Contact Information

Primary practice address
7271 N Main St Ste 2 Dayton OH 45415-2561
Phone: (937) 991-0082
Fax: (937) 991-0089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X RN.254376-C0A1 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X RN.254376-C0A1 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN.254376-COA1 Ohio

Profile Details

NPI number 1871685792
LBN Legal business name Anderson, Sandy M
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 17th, 2024 - about last year

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 1871685792 NPPES
Ohio MEDICAID 2388901
Ohio Other 000000577058
Ohio Other 9939476

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