Anderson, Bernice
Anderson, Bernice is an individual health care provider with primary practice located at 2200 W Illinois Ave , Midland TX 79701-6407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Anderson, Bernice can be contacted via phone (432) 685-1111.Contact Information
Primary practice address
2200 W Illinois Ave
Midland TX 79701-6407
Phone: (432) 685-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | H9489 | Texas |
Profile Details
| NPI number | 1689667602 |
|---|---|
| LBN Legal business name | Anderson, Bernice |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Sep 18th, 2015 - about 9 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 | 1689667602 | NPPES |
| Texas | MEDICAID | 140270338 |
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