Sanborn, Chad Robert

Sanborn, Chad Robert is an sole proprietor health care provider with primary practice located at 927 45Th St , Mangonia Park FL 33407-2450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Sanborn, Chad Robert can be contacted via phone (561) 844-8354.

Contact Information

Primary practice address
927 45Th St Mangonia Park FL 33407-2450
Phone: (561) 844-8354
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X ME 96300 Florida

Profile Details

NPI number 1407047657
LBN Legal business name Sanborn, Chad Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Mar 24th, 2021 - about 5 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 1407047657 NPPES
Florida MEDICAID 001311900

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