Anderson, Duane Ray
Anderson, Duane Ray is an sole proprietor health care provider with primary practice located at 850 W Ironwood Dr Ste 202 , Coeur D Alene ID 83814-4903. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Anderson, Duane Ray can be contacted via phone (208) 664-2175.Contact Information
Primary practice address
850 W Ironwood Dr Ste 202
Coeur D Alene ID 83814-4903
Phone: (208) 664-2175
Fax: (208) 664-1226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M6376 | Idaho |
Profile Details
| NPI number | 1326105628 |
|---|---|
| LBN Legal business name | Anderson, Duane Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1326105628 | NPPES |
| Idaho | Other | M6376 | LICENSE |
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