Shandersky, Michael T
Shandersky, Michael T is an sole proprietor health care provider with primary practice located at 751 E Bayou Pines Dr Suite L, Lake Charles LA 70601-7196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shandersky, Michael T can be contacted via phone (337) 436-8700.Contact Information
Primary practice address
751 E Bayou Pines Dr Suite L
Lake Charles LA 70601-7196
Phone: (337) 436-8700
Fax: (337) 433-5942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 69234 | Louisiana |
Profile Details
| NPI number | 1013997410 |
|---|---|
| LBN Legal business name | Shandersky, Michael T |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Feb 26th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013997410 | NPPES |
| Louisiana | MEDICAID | 1924121 |
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