Anderson, Craig A
Anderson, Craig A is an individual health care provider with primary practice located at 20375 W 151St St Suite 463, Olathe KS 66061-7218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Anderson, Craig A can be contacted via phone (913) 782-8577.Contact Information
Primary practice address
20375 W 151St St Suite 463
Olathe KS 66061-7218
Phone: (913) 782-8577
Fax: (913) 782-2616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0423072 | Kansas |
Profile Details
| NPI number | 1073664603 |
|---|---|
| LBN Legal business name | Anderson, Craig A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Dec 2nd, 2014 - about 11 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 | 1073664603 | NPPES |
| Kansas | MEDICAID | 100118910B |
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