Anderson, Charles Wayne

Anderson, Charles Wayne is an sole proprietor health care provider with primary practice located at 22106 State Highway 71 W , Spicewood TX 78669-6115. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Charles Wayne can be contacted via phone (512) 264-9977.

Contact Information

Primary practice address
22106 State Highway 71 W Spicewood TX 78669-6115
Fax: (512) 264-9517
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9754 Texas

Profile Details

NPI number 1578697694
LBN Legal business name Anderson, Charles Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
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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