| Zanesville Family Practice Inc | |
|
1215 Newark Road Zanesville OH 43701-2816 | |
| (740) 452-7359 | |
| (740) 452-7309 |
| Full Name | Zanesville Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1215 Newark Road, Zanesville, Ohio |
| Authorized Official Name and Position | Kristofer Gibson Sandlund (PHYSICIAN) |
| Authorized Official Contact | 7404527359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zanesville Family Practice Inc 1215 Newark Road Zanesville OH 43701-2816 Ph: (740) 452-7359 | Zanesville Family Practice Inc 1215 Newark Road Zanesville OH 43701-2816 Ph: (740) 452-7359 |
| NPI Number | 1548339120 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 04/28/2020 |
| Medicare PECOS PAC ID | 9830110089 |
|---|---|
| Medicare Enrollment ID | O20051215000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548339120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristofer Gibson Sandlund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407844749 PECOS PAC ID: 4284655432 Enrollment ID: I20100722000008 |
| Provider Name | Stephen K Sandlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891929071 PECOS PAC ID: 5890919096 Enrollment ID: I20140609002016 |
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