Anderson, Eric John
Anderson, Eric John is an individual health care provider with primary practice located at 3100 N Tenaya Way , Las Vegas NV 89128-0436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Eric John can be contacted via phone (972) 915-3600.Contact Information
Primary practice address
3100 N Tenaya Way
Las Vegas NV 89128-0436
Phone: (972) 915-3600
Fax: (972) 915-3636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 11566 | Nevada |
Profile Details
| NPI number | 1619979028 |
|---|---|
| LBN Legal business name | Anderson, Eric John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 26th, 2010 - about 14 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 | 1619979028 | NPPES |
| Nevada | MEDICAID | 100506966 |
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