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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1124002449 NPPES
Arizona MEDICAID 1124002449

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