Anderson, Denise Carol

Anderson, Denise Carol is an individual health care provider with primary practice located at 800 5Th Ave Suite 300, Fort Worth TX 76104-7300. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Anderson, Denise Carol can be contacted via phone (817) 334-1400.

Contact Information

Primary practice address
800 5Th Ave Suite 300 Fort Worth TX 76104-7300
Fax: (817) 334-1410
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 319222 Michigan

Profile Details

NPI number 1457531493
LBN Legal business name Anderson, Denise Carol
Credentials C.D.E.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Mar 17th, 2009 - about 15 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 1457531493 NPPES
Michigan Other ON53610 MEDICARE NUMBER, MICHIGAN
Michigan Other 8K2932 MEDICARE NUMBER, MICHIGAN
Michigan Other 8K2934 MEDICARE NUMBER, MICHIGAN
Michigan Other 8K2933 MEDICARE NUMBER, MICHIGAN

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