Anderson, Eric Robert
Anderson, Eric Robert is an individual health care provider with primary practice located at 400 E 5Th Ave , Spokane WA 99202-1334. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Anderson, Eric Robert can be contacted via phone (509) 838-2531.Contact Information
Primary practice address
400 E 5Th Ave
Spokane WA 99202-1334
Phone: (509) 838-2531
Fax: (509) 342-3761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD00045927 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00045927 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-10358 | Idaho |
Profile Details
| NPI number | 1295732030 |
|---|---|
| LBN Legal business name | Anderson, Eric Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Oct 5th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295732030 | NPPES |
| Idaho | MEDICAID | 807782300 | |
| Idaho | MEDICAID | 8451221 |
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