Anderson, Eric Robert
Anderson, Eric Robert is an individual health care provider with primary practice located at 2411 Dulles Corner Park Ste 475 , Herndon VA 20171-5605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Anderson, Eric Robert can be contacted via phone (800) 762-9244.Contact Information
Primary practice address
2411 Dulles Corner Park Ste 475
Herndon VA 20171-5605
Phone: (800) 762-9244
Fax: (786) 672-6006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0101263537 | Virginia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 50903 | Arizona |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD-42422 | Iowa |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-138634 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 47414 | Kentucky |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 35.124440 | Ohio |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 69752 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME132445 | Florida |
Profile Details
| NPI number | 1588808034 |
|---|---|
| LBN Legal business name | Anderson, Eric Robert |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2009 |
| Last updated | Dec 23rd, 2022 - about 2 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 | 1588808034 | NPPES |
| Ohio | MEDICAID | 2565399 | |
| Ohio | MEDICAID | MISC. | |
| Ohio | MEDICAID | 999395 |
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