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
Phone: (817) 334-1400
Fax: (817) 334-1410
Website:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 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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