Sondergard, Julia Konstantinovna

Sondergard, Julia Konstantinovna is an sole proprietor health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Sondergard, Julia Konstantinovna can be contacted via phone (937) 641-3477.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-3477
Fax: (937) 641-5410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 34.014501 Ohio

Profile Details

NPI number 1497140362
LBN Legal business name Sondergard, Julia Konstantinovna
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2015
Last updated Oct 12th, 2023 - about 3 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 1497140362 NPPES
Ohio MEDICAID 0409456

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