Anderson, Clinton
Anderson, Clinton is an individual health care provider with primary practice located at 12800 Bothell Everett Hwy , Everett WA 98208-6642. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Clinton can be contacted via phone (425) 316-5150.Contact Information
Primary practice address
12800 Bothell Everett Hwy
Everett WA 98208-6642
Phone: (425) 316-5150
Fax: (425) 225-1006
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 41558 | Minnesota |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60037715 | Washington |
Profile Details
NPI number | 1134106867 |
---|---|
LBN Legal business name | Anderson, Clinton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 23rd, 2005 |
Last updated | Feb 5th, 2015 - about 9 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 | 1134106867 | NPPES |
Minnesota | Other | 062M8AN | BLUE CROSS |
Minnesota | MEDICAID | 127521 | BLUE CROSS |
Minnesota | MEDICAID | 390405933 | BLUE CROSS |
Minnesota | MEDICAID | 3526343 | BLUE CROSS |
Minnesota | MEDICAID | 8523219 | BLUE CROSS |
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