Anderson, Adam L

Anderson, Adam L is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Pulmonary And Ccm, Ste 8B, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Anderson, Adam L can be contacted via phone (314) 454-8917.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Pulmonary And Ccm, Ste 8B Saint Louis MO 63110-1032
Fax: (314) 454-2200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2012003967 Missouri

Profile Details

NPI number 1154632974
LBN Legal business name Anderson, Adam L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2010
Last updated Apr 25th, 2024 - about last year

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 1154632974 NPPES
Missouri MEDICAID 200032549

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