Andersen, James R

Andersen, James R is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Andersen, James R can be contacted via phone (608) 251-6100.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1849
Phone: (608) 251-6100
Fax: (608) 826-2710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35205 Wisconsin

Profile Details

NPI number 1528048881
LBN Legal business name Andersen, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Dec 21st, 2020 - about 4 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 1528048881 NPPES
Wisconsin MEDICAID 32017900

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