Anderson, Duane Gabriel
Anderson, Duane Gabriel is an sole proprietor health care provider with primary practice located at 3130 Orchard Hill Rd , Bonita CA 91902-1411. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Anderson, Duane Gabriel can be contacted via phone (479) 461-4103.Contact Information
Primary practice address
3130 Orchard Hill Rd
Bonita CA 91902-1411
Phone: (479) 461-4103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1972154649 |
|---|---|
| LBN Legal business name | Anderson, Duane Gabriel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2019 |
| Last updated | Sep 24th, 2019 - about 5 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 | 1972154649 | NPPES |
| California | Other | F7056292 | DRIVER LICENSE |
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