Anderson, Brett Carl
Anderson, Brett Carl is an individual health care provider with primary practice located at 60 Mdg/Sgcs/Sgco 101 Bodin Circle, Travis Afb CA 94535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Anderson, Brett Carl can be contacted via phone (707) 423-5245.Contact Information
Primary practice address
60 Mdg/Sgcs/Sgco 101 Bodin Circle
Travis Afb CA 94535
Phone: (707) 423-5245
Fax: (707) 423-5242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 34088 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD13114 | Rhode Island |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | L5223 | Texas |
Profile Details
| NPI number | 1124002449 |
|---|---|
| LBN Legal business name | Anderson, Brett Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Apr 11th, 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 | 1124002449 | NPPES |
| Arizona | MEDICAID | 1124002449 |
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