| Doctor Name: | THOMAS SCOTT SANDIN |
| NPI Number: | 1356369870 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.-C. |
| License Number: | 10000475A |
| Business Practice Address: | 505 Silhavy Rd Suite 800 Valparaiso, IN - 463834460 |
| Business Phone Number: | 2195480360 |
| Business Fax Number: | 2195480358 |
| Mailing Address: | 15200 Washington St, CROWN POINT |
| State: | IN |
| Postal Code: | 463079394 |
| Phone Number: | 2196628088 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 10000475A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |