Anderson, Danier Deselle

Anderson, Danier Deselle is an sole proprietor health care provider with primary practice located at 8649 Highway 165 N Ste 1 , Monroe LA 71203-8965. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Anderson, Danier Deselle can be contacted via phone (318) 283-3980.

Contact Information

Primary practice address
8649 Highway 165 N Ste 1 Monroe LA 71203-8965
Phone: (318) 283-3980
Fax: (318) 239-8980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DPM.200039 Louisiana

Profile Details

NPI number 1639347073
LBN Legal business name Anderson, Danier Deselle
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2008
Last updated Nov 22nd, 2019 - 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 1639347073 NPPES
Louisiana MEDICAID 2319523

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