Anderson, Fordyce W

Anderson, Fordyce W is an individual health care provider with primary practice located at 13760 N 93Rd Ave Ste 107, Peoria AZ 85381-4201. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Anderson, Fordyce W can be contacted via phone (623) 876-3952.

Contact Information

Primary practice address
13760 N 93Rd Ave Ste 107 Peoria AZ 85381-4201
Phone: (623) 876-3952
Fax: (623) 876-3975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5386 Arizona

Profile Details

NPI number 1174563357
LBN Legal business name Anderson, Fordyce W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 23rd, 2008 - about 16 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 1174563357 NPPES
Arizona MEDICAID 931726

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