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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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