Anderson, David Q

Anderson, David Q is an individual health care provider with primary practice located at 3742 Tennessee Ave Ste 108 , Chattanooga TN 37409. 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 Q can be contacted via phone (423) 702-6453.

Contact Information

Primary practice address
3742 Tennessee Ave Ste 108 Chattanooga TN 37409
Phone: (423) 702-6453
Fax: (423) 485-3893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 771 Tennessee
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 209 Alabama
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001283 Georgia

Profile Details

NPI number 1780683136
LBN Legal business name Anderson, David Q
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 4th, 2019 - about 6 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 1780683136 NPPES
Tennessee MEDICAID Q019441

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