Anderson, Edward Carl
Anderson, Edward Carl is an individual health care provider with primary practice located at 2166 Madison Ave , Granite City IL 62040-4700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Anderson, Edward Carl can be contacted via phone (618) 452-3301.Contact Information
Primary practice address
2166 Madison Ave
Granite City IL 62040-4700
Phone: (618) 452-3301
Fax: (618) 452-3312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 109142 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085000938 | Illinois |
Profile Details
| NPI number | 1326104910 |
|---|---|
| LBN Legal business name | Anderson, Edward Carl |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Aug 9th, 2021 - about 3 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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