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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1467527523 NPPES
Ohio MEDICAID 31192739026
Ohio MEDICAID 0675443
Ohio Other 000000014329

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