Sandberg, Stephanie L

Sandberg, Stephanie L is an sole proprietor health care provider with primary practice located at 20 Progress Point Pkwy Suite 206, O Fallon MO 63368-2206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Sandberg, Stephanie L can be contacted via phone (636) 344-1073.

Contact Information

Primary practice address
20 Progress Point Pkwy Suite 206 O Fallon MO 63368-2206
Phone: (636) 344-1073
Fax: (636) 344-1075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2004012744 Missouri

Profile Details

NPI number 1649273160
LBN Legal business name Sandberg, Stephanie L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2005
Last updated Feb 4th, 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 1649273160 NPPES
Missouri MEDICAID 208778902

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