Anderson, Derek James

Anderson, Derek James is an individual health care provider with primary practice located at 9001 Summa Ave , Baton Rouge LA 70809-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Derek James can be contacted via phone (225) 761-5200.

Contact Information

Primary practice address
9001 Summa Ave Baton Rouge LA 70809-3726
Phone: (225) 761-5200
Fax: (225) 761-5487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10793R Louisiana

Profile Details

NPI number 1568468171
LBN Legal business name Anderson, Derek James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Apr 29th, 2016 - about 8 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 1568468171 NPPES
Louisiana Other 990008020 RAILROAD MEDICARE PIN
Louisiana MEDICAID 1996254 RAILROAD MEDICARE PIN
Louisiana MEDICAID 00876731 RAILROAD MEDICARE PIN
Louisiana Other 080179869 RAILROAD MEDICARE PIN
Louisiana Other 270663YJGU RAILROAD MEDICARE PIN

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