Anderson, Charles Peter
Anderson, Charles Peter is an sole proprietor health care provider with primary practice located at 900 Rebel Road Unit 900 , Kyle TX 78640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Charles Peter can be contacted via phone (512) 491-3730.Contact Information
Primary practice address
900 Rebel Road Unit 900
Kyle TX 78640
Phone: (512) 491-3730
Fax: (512) 268-9129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E1801 | Texas |
Profile Details
| NPI number | 1992735500 |
|---|---|
| LBN Legal business name | Anderson, Charles Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 22nd, 2021 - about 4 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 | 1992735500 | NPPES |
| Texas | MEDICAID | 121034601 |
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