Anderson, Donald R

Anderson, Donald R is an sole proprietor health care provider with primary practice located at 175 W Monroe Ste 266 , Wytheville VA 24382-2341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Anderson, Donald R can be contacted via phone (202) 294-7948.

Contact Information

Primary practice address
175 W Monroe Ste 266 Wytheville VA 24382-2341
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39277 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101246201 Virginia

Profile Details

NPI number 1679564595
LBN Legal business name Anderson, Donald R
Credentials MD, FACC, FCCP, COL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Sep 28th, 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 1679564595 NPPES
Georgia MEDICAID 00638404C
Georgia MEDICAID 1679564595

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