Anderson, George C
Anderson, George C is an individual health care provider with primary practice located at 5114 Mid America Plz Ste 2C, Saint Louis MO 63129-0003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, George C can be contacted via phone (314) 859-4000.Contact Information
Primary practice address
5114 Mid America Plz Ste 2C
Saint Louis MO 63129-0003
Phone: (314) 859-4000
Fax: (314) 273-4110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 103175 | Missouri |
Profile Details
| NPI number | 1669497764 |
|---|---|
| LBN Legal business name | Anderson, George C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | May 9th, 2024 - about 6 months 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 | 1669497764 | NPPES |
| Missouri | MEDICAID | 208579409 |
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