Andersen, Brian Robert

Andersen, Brian Robert is an sole proprietor health care provider with primary practice located at 3201 W Highway 22 , Corsicana TX 75110-2450. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Andersen, Brian Robert can be contacted via phone (903) 654-6800.

Contact Information

Primary practice address
3201 W Highway 22 Corsicana TX 75110-2450
Phone: (903) 654-6800
Fax: (903) 654-6989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 705290 Texas

Profile Details

NPI number 1336143940
LBN Legal business name Andersen, Brian Robert
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated Mar 6th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336143940 NPPES
Texas MEDICAID 1627689-02

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