Anderson, David Michael
Anderson, David Michael is an sole proprietor health care provider with primary practice located at 9702 Stonestreet Rd Ste 120 , Louisville KY 40272-6812. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Anderson, David Michael can be contacted via phone (866) 934-7450.Contact Information
Primary practice address
9702 Stonestreet Rd Ste 120
Louisville KY 40272-6812
Phone: (866) 934-7450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 46107 | Kentucky |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 46107 | Kentucky |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 46107 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01072910A | Indiana |
Profile Details
| NPI number | 1962661488 |
|---|---|
| LBN Legal business name | Anderson, David Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Apr 12th, 2024 - about last year |
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 | 1962661488 | NPPES |
| Kentucky | MEDICAID | 7100246110 |
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