Anderson, Daphne K

Anderson, Daphne K is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Anderson, Daphne K can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-5155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 36538 Missouri

Profile Details

NPI number 1144269598
LBN Legal business name Anderson, Daphne K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Feb 6th, 2013 - about 12 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 1144269598 NPPES
Other 107052 BLUE CROSS/BLUE SHIELD
MEDICAID 202388328 BLUE CROSS/BLUE SHIELD
Other 025014838 BLUE CROSS/BLUE SHIELD

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