Anderson, Andrew M

Anderson, Andrew M is an individual health care provider with primary practice located at 1300 Egg Harbor Rd Ste 152 , Sturgeon Bay WI 54235-1248. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Anderson, Andrew M can be contacted via phone (920) 746-0410.

Contact Information

Primary practice address
1300 Egg Harbor Rd Ste 152 Sturgeon Bay WI 54235-1248
Phone: (920) 746-0410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1083722664
LBN Legal business name Anderson, Andrew M
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jan 9th, 2023 - about 2 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 1083722664 NPPES
Wisconsin MEDICAID 40403200

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