Anderson, Dale Johnson

Anderson, Dale Johnson is an sole proprietor health care provider with primary practice located at 6365 Clayton Road , St Louis MO 63117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Anderson, Dale Johnson can be contacted via phone (314) 645-1567.

Contact Information

Primary practice address
6365 Clayton Road St Louis MO 63117
Phone: (314) 645-1567
Fax: (314) 725-4449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R2E00 Missouri

Profile Details

NPI number 1144321746
LBN Legal business name Anderson, Dale Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Feb 5th, 2020 - about 6 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 1144321746 NPPES
Other 1521222 UNITED BEHAVIORAL HEALTH
Other 25961 UNITED BEHAVIORAL HEALTH
Other 132483 UNITED BEHAVIORAL HEALTH
Other B18373 UNITED BEHAVIORAL HEALTH
Other 007924000 UNITED BEHAVIORAL HEALTH
Other 012043 UNITED BEHAVIORAL HEALTH
Other 1521222 UNITED BEHAVIORAL HEALTH
Other 33326 UNITED BEHAVIORAL HEALTH

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