Anderson, Holly

Anderson, Holly is an individual health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109-4405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Holly can be contacted via phone (206) 288-7490.

Contact Information

Primary practice address
825 Eastlake Ave E Seattle WA 98109-4405
Phone: (206) 288-7490
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60043081 Washington

Profile Details

NPI number 1457335747
LBN Legal business name Anderson, Holly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Nov 23rd, 2010 - about 14 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 1457335747 NPPES
Iowa MEDICAID 1069039
Iowa Other MH9041043467
Iowa Other HP50102
Iowa Other 465R5AN
Iowa Other 01-21435
Iowa Other 465R5AN
Iowa Other 2307523
Iowa Other 10091
Iowa MEDICAID 958105700

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