Sanderson, David Eugene
Sanderson, David Eugene is an individual health care provider with primary practice located at 12214 200Th St , Wadena MN 56482-3124. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Sanderson, David Eugene can be contacted via phone (218) 631-3610.Contact Information
Primary practice address
12214 200Th St
Wadena MN 56482-3124
Phone: (218) 631-3610
Fax: (218) 631-3917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 302384 | Minnesota |
Profile Details
| NPI number | 1154840338 |
|---|---|
| LBN Legal business name | Sanderson, David Eugene |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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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