Sandquist, Mary K

Sandquist, Mary K is an individual health care provider with primary practice located at 200 E Chestnut St , Louisville KY 40202-1831. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Sandquist, Mary K can be contacted via phone (502) 629-6000.

Contact Information

Primary practice address
200 E Chestnut St Louisville KY 40202-1831
Fax: (502) 629-5865
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49375 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 49375 Kentucky

Profile Details

NPI number 1598082851
LBN Legal business name Sandquist, Mary K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2010
Last updated Oct 27th, 2020 - about 6 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 1598082851 NPPES
Indiana MEDICAID 300011404

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