Anderson, David

Anderson, David is an individual health care provider with primary practice located at 710 Venture Dr , Morgantown WV 26508-7306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Anderson, David can be contacted via phone (304) 291-5533.

Contact Information

Primary practice address
710 Venture Dr Morgantown WV 26508-7306
Fax: (304) 291-5548
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16613 West Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16613 West Virginia

Profile Details

NPI number 1629082243
LBN Legal business name Anderson, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1629082243 NPPES
West Virginia MEDICAID 0044671000

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