Anderson, Eldridge T

Anderson, Eldridge T is an individual health care provider with primary practice located at 10 Brentwood Dr Suite B, Ithaca NY 14850-1865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Anderson, Eldridge T can be contacted via phone (607) 266-0073.

Contact Information

Primary practice address
10 Brentwood Dr Suite B Ithaca NY 14850-1865
Phone: (607) 266-0073
Fax: (607) 266-9310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 173533 New York

Profile Details

NPI number 1760496855
LBN Legal business name Anderson, Eldridge T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 24th, 2013 - about 11 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 1760496855 NPPES
New York MEDICAID 01060993

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