Anderson, David Lee

Anderson, David Lee is an sole proprietor health care provider with primary practice located at 2509 Woodward Ave , Fort Wayne IN 46805-3748. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Anderson, David Lee can be contacted via phone (765) 603-1178.

Contact Information

Primary practice address
2509 Woodward Ave Fort Wayne IN 46805-3748
Phone: (765) 603-1178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1881353613
LBN Legal business name Anderson, David Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2021
Last updated Dec 9th, 2021 - about 3 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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