Organization
N M SANSAIT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOMEDES SANSAIT M.D. (PRESIDENT)
(740) 548-6954
Entity
Organization
Contact information
Practice address
8067 TOWNSHIP ROAD 334, MILLERSBURG, OH 44654-9171
(740) 815-8599
Mailing address
2738 PLEASANT COLONY DR, LEWIS CENTER, OH 43035-8129
(740) 548-6954
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3576471
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129164
—
OH
01
—
40877943200
BWC
OH
Enumeration date
10/04/2006
Last updated
09/09/2008
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