Anderson, David
Anderson, David is an individual health care provider with primary practice located at 10720 Nall Ave , Overland Park KS 66211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Anderson, David can be contacted via phone (913) 588-6671.Contact Information
Primary practice address
10720 Nall Ave
Overland Park KS 66211
Phone: (913) 588-6671
Fax: (913) 588-6671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 04-20418 | Kansas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 0420418 | Kansas |
Profile Details
| NPI number | 1861468118 |
|---|---|
| LBN Legal business name | Anderson, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jul 28th, 2014 - about 10 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 | 1861468118 | NPPES |
| Kansas | MEDICAID | 100200370D | |
| Kansas | Other | P00106987 | |
| Kansas | MEDICAID | 209214808 | |
| Kansas | Other | P00115674 | |
| Kansas | MEDICAID | 100200370E | |
| Kansas | MEDICAID | 209214816 |
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