Anderson, Eddie Evan

Anderson, Eddie Evan is an individual health care provider with primary practice located at 100 Hoylman Dr , Gassaway WV 26624-9321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Eddie Evan can be contacted via phone (304) 364-5156.

Contact Information

Primary practice address
100 Hoylman Dr Gassaway WV 26624-9321
Phone: (304) 364-5156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1995 West Virginia

Profile Details

NPI number 1154360634
LBN Legal business name Anderson, Eddie Evan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 1st, 2020 - about 4 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 1154360634 NPPES
West Virginia MEDICAID PENDING

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