Anderson, Eric K

Anderson, Eric K is an individual health care provider with primary practice located at 515 22Nd Ave , Monroe WI 53566-1569. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Anderson, Eric K can be contacted via phone (608) 324-2000.

Contact Information

Primary practice address
515 22Nd Ave Monroe WI 53566-1569
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24791 Wisconsin
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 24791 Wisconsin

Profile Details

NPI number 1184645616
LBN Legal business name Anderson, Eric K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 25th, 2024 - about 5 months 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 1184645616 NPPES
Other 390808509 CT GENERAL
Other 390808509 CT GENERAL
Other 690004890 CT GENERAL
Other 1000388 CT GENERAL
Other 10848 CT GENERAL
Other 39080850919 CT GENERAL
Other 30610700 CT GENERAL
Other 80055618 CT GENERAL
MEDICAID 30610700 CT GENERAL
Other 390808509 CT GENERAL
Other 90002361 CT GENERAL

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