Anderson, David Allen

Anderson, David Allen is an sole proprietor health care provider with primary practice located at 433 Main Ave , Weston WV 26452-2047. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Anderson, David Allen can be contacted via phone (304) 269-3445.

Contact Information

Primary practice address
433 Main Ave Weston WV 26452-2047
Phone: (304) 269-3445
Fax: (304) 269-5208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00309 West Virginia

Profile Details

NPI number 1225062631
LBN Legal business name Anderson, David Allen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Aug 10th, 2023 - about 2 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 1225062631 NPPES
West Virginia MEDICAID 0099935000

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