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
Phone: (253) 627-0114
Fax: (253) 627-0498
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770665309 | NPPES |
Other | AN5612 | REGENCE | |
Other | 102486 | REGENCE | |
MEDICAID | 1057264 | REGENCE |
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