Anderson, Herbert Clark

Anderson, Herbert Clark is an individual health care provider with primary practice located at 455 St Michaels Drive , Santa Fe NM 87505-7621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Anderson, Herbert Clark can be contacted via phone (505) 986-8620.

Contact Information

Primary practice address
455 St Michaels Drive Santa Fe NM 87505-7621
Phone: (505) 986-8620
Fax: (505) 820-2461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 79-2 New Mexico

Profile Details

NPI number 1235225939
LBN Legal business name Anderson, Herbert Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 18th, 2007 - about 17 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 1235225939 NPPES
New Mexico MEDICAID 00027607
New Mexico Other 00NM000148

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