Anderson, Anthony
Anderson, Anthony is an individual health care provider with primary practice located at 1479A U.S. Highway 61 , Festus MO 63028-4123. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Anthony can be contacted via phone (636) 931-5533.Contact Information
Primary practice address
1479A U.S. Highway 61
Festus MO 63028-4123
Phone: (636) 931-5533
Fax: (636) 931-5502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MDR7H67 | Missouri |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036119093 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 036119093 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 036119093 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036119093 | Illinois |
Profile Details
| NPI number | 1679524094 |
|---|---|
| LBN Legal business name | Anderson, Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1679524094 | NPPES |
| Missouri | Other | 200132704 | CDS |
| Missouri | MEDICAID | 205069909 | CDS |
| Missouri | MEDICAID | 036119093 | CDS |
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