Anderson, Bette L
Anderson, Bette L is an sole proprietor health care provider with primary practice located at 3015 Village Office Pl , Champaign IL 61822-7674. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Anderson, Bette L can be contacted via phone (217) 355-7947.Contact Information
Primary practice address
3015 Village Office Pl
Champaign IL 61822-7674
Phone: (217) 355-7947
Fax: (217) 355-8047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | BA0383757 | Illinois |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036073436 | Illinois |
Profile Details
| NPI number | 1386612927 |
|---|---|
| LBN Legal business name | Anderson, Bette L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 28th, 2018 - about 6 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 | 1386612927 | NPPES |
| Illinois | Other | 205022193 | TRI-CARE |
| Illinois | Other | 1032096 | TRI-CARE |
| Illinois | MEDICAID | 036073436 | TRI-CARE |
| Illinois | Other | 960582 | TRI-CARE |
| Illinois | Other | 301724 | TRI-CARE |
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