Anderson, Ansel Glen
Anderson, Ansel Glen is an individual health care provider with primary practice located at 4220 Harding Rd , Nashville TN 37205-2005. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Anderson, Ansel Glen can be contacted via phone (615) 222-2111.Contact Information
Primary practice address
4220 Harding Rd
Nashville TN 37205-2005
Phone: (615) 222-2111
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD40430 | Tennessee |
Profile Details
NPI number | 1538112602 |
---|---|
LBN Legal business name | Anderson, Ansel Glen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 18th, 2006 |
Last updated | Apr 14th, 2008 - about 17 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 | 1538112602 | NPPES |
Tennessee | Other | P00313053 | RAILROAD MEDICARE |
Tennessee | MEDICAID | 3335732 | RAILROAD MEDICARE |
Tennessee | Other | 4118861 | RAILROAD MEDICARE |
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