Anderson, Alan Arthur
Anderson, Alan Arthur is an sole proprietor health care provider with primary practice located at 1622 S Mildred St Suite A, Tacoma WA 98465-1610. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Anderson, Alan Arthur can be contacted via phone (253) 588-2721.Contact Information
Primary practice address
1622 S Mildred St Suite A
Tacoma WA 98465-1610
Phone: (253) 588-2721
Fax: (253) 984-9366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN00000119 | Washington |
Profile Details
| NPI number | 1922329713 |
|---|---|
| LBN Legal business name | Anderson, Alan Arthur |
| Credentials | DPD,CDT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2010 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922329713 | NPPES |
| Washington | MEDICAID | 1922329713 |
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