Anderson, Eric R

Anderson, Eric R is an individual health care provider with primary practice located at 2621 S Green Bay Rd , Racine WI 53406-4948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Anderson, Eric R can be contacted via phone (262) 504-6150.

Contact Information

Primary practice address
2621 S Green Bay Rd Racine WI 53406-4948
Phone: (262) 504-6150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2019018163 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Colorado
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 75798 Wisconsin

Profile Details

NPI number 1952763328
LBN Legal business name Anderson, Eric R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2016
Last updated Nov 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952763328 NPPES
Wisconsin MEDICAID 100178361

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