Anderson, Brian D
Anderson, Brian D is an individual health care provider with primary practice located at 2526 41St St , Moline IL 61265-5016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Brian D can be contacted via phone (309) 792-6540.Contact Information
Primary practice address
2526 41St St
Moline IL 61265-5016
Phone: (309) 792-6540
Fax: (309) 764-9326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-098957 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036098957 | Illinois |
Profile Details
NPI number | 1134124191 |
---|---|
LBN Legal business name | Anderson, Brian D |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Jan 16th, 2023 - about last year |
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 | 1134124191 | NPPES |
Other | IL01G3 | JOHN DEERE HEALTH PLAN | |
Other | 479890019 | JOHN DEERE HEALTH PLAN | |
Other | 90767 | JOHN DEERE HEALTH PLAN | |
MEDICAID | 036098957 | JOHN DEERE HEALTH PLAN | |
Other | 20212 | JOHN DEERE HEALTH PLAN | |
Other | 048462 | JOHN DEERE HEALTH PLAN |
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