Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES DAVID SANDISON
Active Sole ProprietorCHARLES DAVID SANDISON is a Community/Behavioral Health healthcare provider located in DETROIT, Michigan. NPI 1528350535 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · DETROIT, MI
Registration Details
- NPI Number
- 1528350535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2011 (15.08149585722 yrs)
- Last Updated
- Oct 30, 2012
- Licenses
-
S532115135684 (MI)S532115135684 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
79 W ALEXANDRINE STDETROIT, MI, 482012015Browse MI providers · Browse ZIP 48201
- Phone
- 3132620937
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
Other Community/Behavioral Health Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| TASMIYAH GASKINS | RN | 1285972125 |
| ANA ASFAR | — | 1992121990 |
| PATRICIA MURRAY | RN | 1265819494 |
| MR. ERIC SMITH | — | 1811370919 |
| MR. DANIEL GARDNER-MORIN | LPN | 1114394822 |
| FELICIA MELTON | LLBSW | 1518312610 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.