Anderson, Constance L.

Anderson, Constance L. is an sole proprietor health care provider with primary practice located at 1320 Maplewood Ave Ste A , Ronceverte WV 24970-8016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anderson, Constance L. can be contacted via phone (304) 647-5114.

Contact Information

Primary practice address
1320 Maplewood Ave Ste A Ronceverte WV 24970-8016
Phone: (304) 647-5114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1731 West Virginia

Profile Details

NPI number 1043237613
LBN Legal business name Anderson, Constance L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Nov 16th, 2023 - about 2 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 1043237613 NPPES
West Virginia Other 80170802 RAILROAD MEDICARE
West Virginia MEDICAID 5630339000 RAILROAD MEDICARE
West Virginia Other 5279784 RAILROAD MEDICARE
West Virginia Other 045 RAILROAD MEDICARE
West Virginia Other 299233 RAILROAD MEDICARE
West Virginia Other 441905 RAILROAD MEDICARE
West Virginia Other 141471 RAILROAD MEDICARE
West Virginia Other 029222002 RAILROAD MEDICARE

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