Andersen, Thomas W

Andersen, Thomas W is an individual health care provider with primary practice located at 562 W 2Nd Ave , Lititz PA 17543-1816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andersen, Thomas W can be contacted via phone (717) 626-2167.

Contact Information

Primary practice address
562 W 2Nd Ave Lititz PA 17543-1816
Phone: (717) 626-2167
Fax: (717) 626-1915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD033956E Pennsylvania

Profile Details

NPI number 1073597134
LBN Legal business name Andersen, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 1st, 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 1073597134 NPPES
Pennsylvania Other 01463001 CAPITAL BLUE CROSS
Pennsylvania Other 51374 S1QG CAPITAL BLUE CROSS
Pennsylvania Other C28533 CAPITAL BLUE CROSS
Pennsylvania Other P002651 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 0010881200004 CAPITAL BLUE CROSS
Pennsylvania Other 053990 CAPITAL BLUE CROSS
Pennsylvania Other 1085320 CAPITAL BLUE CROSS
Pennsylvania Other 5491090 CAPITAL BLUE CROSS

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