Anderson, Gary L
Anderson, Gary L is an individual health care provider with primary practice located at 3533 Southern Blvd Suite 2250, Kettering OH 45429-1264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Anderson, Gary L can be contacted via phone (937) 534-0330.Contact Information
Primary practice address
3533 Southern Blvd Suite 2250
Kettering OH 45429-1264
Phone: (937) 534-0330
Fax: (937) 534-0340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34-00-4496A | Ohio |
Profile Details
| NPI number | 1891761698 |
|---|---|
| LBN Legal business name | Anderson, Gary L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Nov 18th, 2020 - about 5 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 | 1891761698 | NPPES |
| Ohio | MEDICAID | 0883021 |
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