Anderson, David Odell
Anderson, David Odell is an sole proprietor health care provider with primary practice located at 1439 Artimino Ln , Boynton Beach FL 33436-1111. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Anderson, David Odell can be contacted via phone (561) 797-7987.Contact Information
Primary practice address
1439 Artimino Ln
Boynton Beach FL 33436-1111
Phone: (561) 797-7987
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4296 | South Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 23390 | Florida |
Profile Details
| NPI number | 1336293133 |
|---|---|
| LBN Legal business name | Anderson, David Odell |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jan 10th, 2013 - about 11 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 | 1336293133 | NPPES |
| South Carolina | MEDICAID | GP1753 |
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