Provider Demographics
NPI:1801842984
Name:SANDWICK ENTERPRISES LLC
Entity Type:Organization
Organization Name:SANDWICK ENTERPRISES LLC
Other - Org Name:A SPECIAL TOUCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:410-571-6203
Mailing Address - Street 1:41 OLD SOLOMONS ISLAND RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3853
Mailing Address - Country:US
Mailing Address - Phone:410-571-6203
Mailing Address - Fax:410-571-6203
Practice Address - Street 1:41 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3853
Practice Address - Country:US
Practice Address - Phone:410-571-6203
Practice Address - Fax:410-571-6203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1028476OtherUNITED HEALTHCARE PROV #
MD7654303OtherAETNA PROVIDER NUMBER
MDMH64AOtherCAREFIRST OF MARYLAND
MD699861500Medicaid
MDF866OtherCAREFIRST NCA
MD=========OtherTRICARE
MD4237440001Medicare ID - Type Unspecified