Andersen, William Kristian

Andersen, William Kristian is an individual health care provider with primary practice located at 1120 Se Cary Pkwy Suite 100, Cary NC 27518-7413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Andersen, William Kristian can be contacted via phone (919) 467-4992.

Contact Information

Primary practice address
1120 Se Cary Pkwy Suite 100 Cary NC 27518-7413
Fax: (919) 481-9607
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 9600842 North Carolina

Profile Details

NPI number 1700850195
LBN Legal business name Andersen, William Kristian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Sep 13th, 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 1700850195 NPPES
North Carolina Other NNF119L103 MEDICARE
North Carolina Other 11124 MEDICARE
North Carolina MEDICAID 1700850195 MEDICARE
North Carolina Other 2111516 MEDICARE
North Carolina Other 5406276 MEDICARE
North Carolina Other 2076472 MEDICARE
North Carolina Other 2350709 MEDICARE

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