Andersen, Douglas Elmo

Andersen, Douglas Elmo is an individual health care provider with primary practice located at 2111 18Th Street , Bakersfield CA 93301. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Andersen, Douglas Elmo can be contacted via phone (661) 324-2113.

Contact Information

Primary practice address
2111 18Th Street Bakersfield CA 93301
Phone: (661) 324-2113
Fax: (661) 327-4549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU 820 California
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X HA1944 California

Profile Details

NPI number 1215095674
LBN Legal business name Andersen, Douglas Elmo
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1215095674 NPPES
California MEDICAID AU0008200

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