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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 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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