Andersen, Scott R

Andersen, Scott R is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Andersen, Scott R can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10240 Park Meadows Dr Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 42617 Colorado

Profile Details

NPI number 1851376347
LBN Legal business name Andersen, Scott R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jun 10th, 2021 - about 3 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 1851376347 NPPES
Wyoming MEDICAID 121183800
Wyoming MEDICAID 200376720A
Wyoming MEDICAID 1851376347
Wyoming MEDICAID 929010
Wyoming MEDICAID 20922850
Wyoming MEDICAID 84-059792913
Wyoming Other P00720342
Wyoming MEDICAID 1851376347
Wyoming MEDICAID 28102517
Wyoming MEDICAID 0062769
Wyoming MEDICAID 10025709000
Wyoming Other P00312918
Wyoming Other 026810
Wyoming Other P00385462

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