Anderson, Debra S
Anderson, Debra S is an individual health care provider with primary practice located at 4460 Red Bank Rd Ste 130 , Cincinnati OH 45227-2173. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Anderson, Debra S can be contacted via phone (513) 579-9191.Contact Information
Primary practice address
4460 Red Bank Rd Ste 130
Cincinnati OH 45227-2173
Phone: (513) 579-9191
Fax: (513) 579-0350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35050641 | Ohio |
Profile Details
| NPI number | 1922139195 |
|---|---|
| LBN Legal business name | Anderson, Debra S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Oct 30th, 2020 - about 5 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 | 1922139195 | NPPES |
| Ohio | MEDICAID | 0710298 |
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