Zakroff, Sandra

Zakroff, Sandra is an individual health care provider with primary practice located at 545 Broadridge Dr , Jackson MO 63755-3001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Zakroff, Sandra can be contacted via phone (573) 243-8408.

Contact Information

Primary practice address
545 Broadridge Dr Jackson MO 63755-3001
Phone: (573) 243-8408
Fax: (573) 243-0445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2001004451 Missouri

Profile Details

NPI number 1821072976
LBN Legal business name Zakroff, Sandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 3rd, 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 1821072976 NPPES
Missouri Other 050010581 CPIN
Missouri Other 1821072976 CPIN
Missouri MEDICAID 1821072976 CPIN
Missouri MEDICAID 205286909 CPIN
Missouri Other 466716 CPIN
Missouri MEDICAID 205286917 CPIN

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