Sanderson, Jeffrey Robert

Sanderson, Jeffrey Robert is an sole proprietor health care provider with primary practice located at 4 Park Lane , New Milford CT 06776. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sanderson, Jeffrey Robert can be contacted via phone (860) 354-2241.

Contact Information

Primary practice address
4 Park Lane New Milford CT 06776
Phone: (860) 354-2241
Fax: (860) 350-8660
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 24946 Connecticut
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 24946 Connecticut

Profile Details

NPI number 1336241363
LBN Legal business name Sanderson, Jeffrey Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Mar 14th, 2012 - about 14 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 1336241363 NPPES
Other 706114 CONNECTICARE
Other LIS011 CONNECTICARE
Other 041378 CONNECTICARE
Other 56010024946CT2 CONNECTICARE
MEDICAID 001249465 CONNECTICARE
Other 010024946CT02 CONNECTICARE
Other 2043999 CONNECTICARE
Other 2248667002 CONNECTICARE
Other 500HBC186CT01 CONNECTICARE

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