Anderson, Dennis Robert
Anderson, Dennis Robert is an individual health care provider with primary practice located at 223 N Wahsatch Ave Ste 202 , Colorado Springs CO 80903-3481. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Anderson, Dennis Robert can be contacted via phone (719) 447-9800.Contact Information
Primary practice address
223 N Wahsatch Ave Ste 202
Colorado Springs CO 80903-3481
Phone: (719) 447-9800
Fax: (719) 447-1994
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2748 | Colorado |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 387 | Colorado |
Profile Details
NPI number | 1528284718 |
---|---|
LBN Legal business name | Anderson, Dennis Robert |
Credentials | MA LPC CACIII |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2007 |
Last updated | Jul 9th, 2007 - about 17 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 | 1528284718 | NPPES |
Colorado | MEDICAID | 286060 |
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