Anderson, Benjamin G

Anderson, Benjamin G is an individual health care provider with primary practice located at 1200 Oakleaf Way Ste A , Altoona WI 54720-2245. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Anderson, Benjamin G can be contacted via phone (715) 832-1400.

Contact Information

Primary practice address
1200 Oakleaf Way Ste A Altoona WI 54720-2245
Phone: (715) 832-1400
Fax: (715) 832-4187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1639 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1639 Wisconsin

Profile Details

NPI number 1437111739
LBN Legal business name Anderson, Benjamin G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 17th, 2022 - 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 1437111739 NPPES
Wisconsin MEDICAID 43909300

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