Anderson, Anissa Monseau
Anderson, Anissa Monseau is an sole proprietor health care provider with primary practice located at 703 N Main St , New Martinsville WV 26155-1414. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Anderson, Anissa Monseau can be contacted via phone (304) 455-4200.Contact Information
Primary practice address
703 N Main St
New Martinsville WV 26155-1414
Phone: (304) 455-4200
Fax: (304) 455-3823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 3401 | West Virginia |
Profile Details
| NPI number | 1881792901 |
|---|---|
| LBN Legal business name | Anderson, Anissa Monseau |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1881792901 | NPPES |
| West Virginia | MEDICAID | 4001063000 | |
| West Virginia | Other | 1331245 |
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