Anderson, Edward
Anderson, Edward is an sole proprietor health care provider with primary practice located at 411 Letcher St , Henderson KY 42420-4245. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Anderson, Edward can be contacted via phone (270) 830-6522.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0197 | Kentucky |
Profile Details
| NPI number | 1366445462 |
|---|---|
| LBN Legal business name | Anderson, Edward |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Apr 7th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366445462 | NPPES |
| Indiana | Other | P00733506 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 100381580A | RAILROAD MEDICARE |
| Indiana | Other | 480034923 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 80001977 | RAILROAD MEDICARE |
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