Sandstrom, Tony O
Sandstrom, Tony O is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27514-4220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Sandstrom, Tony O can be contacted via phone (919) 966-5136.Contact Information
Primary practice address
101 Manning Dr
Chapel Hill NC 27514-4220
Phone: (919) 966-5136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | RN126117 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 5845 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 5833 | North Carolina |
Profile Details
| NPI number | 1780670034 |
|---|---|
| LBN Legal business name | Sandstrom, Tony O |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Mar 18th, 2025 - about last year |
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 | 1780670034 | NPPES |
| Wisconsin | Other | K400174628 | MEDICARE PTAN |
| Wisconsin | Other | K400170079 | MEDICARE PTAN |
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