Anderson, Dale R

Anderson, Dale R is an sole proprietor health care provider with primary practice located at 101 E Minnesota St Suite 210, Rapid City SD 57701-7756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Anderson, Dale R can be contacted via phone (605) 341-1122.

Contact Information

Primary practice address
101 E Minnesota St Suite 210 Rapid City SD 57701-7756
Phone: (605) 341-1122
Fax: (605) 341-2161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 1668 South Dakota

Profile Details

NPI number 1750462859
LBN Legal business name Anderson, Dale R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 17th, 2008 - about 16 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 1750462859 NPPES
South Dakota Other 0009785 BLUE CROSS BLUE SHIELD
South Dakota MEDICAID 6400420 BLUE CROSS BLUE SHIELD

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