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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538112602 NPPES
Tennessee Other P00313053 RAILROAD MEDICARE
Tennessee MEDICAID 3335732 RAILROAD MEDICARE
Tennessee Other 4118861 RAILROAD MEDICARE

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