Sandage, Scott James
Sandage, Scott James is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Child And Adolescent Psychiatry, Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Sandage, Scott James can be contacted via phone (414) 266-2932.Contact Information
Primary practice address
9000 W Wisconsin Ave Child And Adolescent Psychiatry
Milwaukee WI 53226-4874
Phone: (414) 266-2932
Fax: (414) 266-3735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036064120 | Illinois |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 22773 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 02000925 | Indiana |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 22773 | Wisconsin |
Profile Details
| NPI number | 1457407819 |
|---|---|
| LBN Legal business name | Sandage, Scott James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Sep 15th, 2015 - about 11 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 | 1457407819 | NPPES |
| Wisconsin | MEDICAID | 1457407819 |
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