Anderson, Gerald W

Anderson, Gerald W is an individual health care provider with primary practice located at 3315 So 23 #200, Tacoma WA 98405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Anderson, Gerald W can be contacted via phone (253) 627-0114.

Contact Information

Primary practice address
3315 So 23 #200 Tacoma WA 98405
Fax: (253) 627-0498
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00015029 Washington

Profile Details

NPI number 1770665309
LBN Legal business name Anderson, Gerald W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 8th, 2017 - about 8 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 1770665309 NPPES
Other AN5612 REGENCE
Other 102486 REGENCE
MEDICAID 1057264 REGENCE

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