Anderson, Carol L
Anderson, Carol L is an sole proprietor health care provider with primary practice located at 5161 Pleasant Ave , Fairfield OH 45014-2639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Anderson, Carol L can be contacted via phone (513) 896-1578.Contact Information
Primary practice address
5161 Pleasant Ave
Fairfield OH 45014-2639
Phone: (513) 896-1578
Fax: (513) 896-1687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 325-051202 | Ohio |
Profile Details
| NPI number | 1467527523 |
|---|---|
| LBN Legal business name | Anderson, Carol L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Dec 15th, 2011 - about 13 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 | 1467527523 | NPPES |
| Ohio | MEDICAID | 31192739026 | |
| Ohio | MEDICAID | 0675443 | |
| Ohio | Other | 000000014329 |
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