Anderson, Dale E

Anderson, Dale E is an individual health care provider with primary practice located at 2102 Carriage Dr Sw Suite 102, Olympia WA 98502-5700. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Anderson, Dale E can be contacted via phone (360) 956-3333.

Contact Information

Primary practice address
2102 Carriage Dr Sw Suite 102 Olympia WA 98502-5700
Phone: (360) 956-3333
Fax: (360) 956-3339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X OI00000176 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PS00000283 Washington

Profile Details

NPI number 1285695007
LBN Legal business name Anderson, Dale E
Credentials LCPO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 4th, 2011 - about 14 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 1285695007 NPPES
Washington Other 3580WE BLUESHIELD
Washington MEDICAID 9051483 BLUESHIELD

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