Anderson, Charles

Anderson, Charles is an individual health care provider with primary practice located at 1200 John Q Hammons Dr , Madison WI 53717-1959. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Anderson, Charles can be contacted via phone (608) 827-7705.

Contact Information

Primary practice address
1200 John Q Hammons Dr Madison WI 53717-1959
Phone: (608) 827-7705
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 18844 Wisconsin

Profile Details

NPI number 1699758078
LBN Legal business name Anderson, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1699758078 NPPES
Wisconsin MEDICAID 30174300

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