Anderson, Gary E

Anderson, Gary E is an individual health care provider with primary practice located at 210 W 53Rd St , Davenport IA 52806-2251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Gary E can be contacted via phone (563) 386-3436.

Contact Information

Primary practice address
210 W 53Rd St Davenport IA 52806-2251
Phone: (563) 386-3436
Fax: (563) 386-3211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01552 Iowa

Profile Details

NPI number 1205831120
LBN Legal business name Anderson, Gary E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 9th, 2007 - about 18 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 1205831120 NPPES
Other IA0104 JOHN DEERE HEALTH PLAN
Other 4796890009 JOHN DEERE HEALTH PLAN
Other 034792 JOHN DEERE HEALTH PLAN
MEDICAID 1160432 JOHN DEERE HEALTH PLAN
Other 20100 JOHN DEERE HEALTH PLAN
Other 40197 JOHN DEERE HEALTH PLAN

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