Anderson, Ian Churchill

Anderson, Ian Churchill is an individual health care provider with primary practice located at 3555 Round Barn Cir , Santa Rosa CA 95403. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Anderson, Ian Churchill can be contacted via phone (707) 528-1050.

Contact Information

Primary practice address
3555 Round Barn Cir Santa Rosa CA 95403
Phone: (707) 528-1050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X A49481 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X A49481 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A49481 California

Profile Details

NPI number 1518055573
LBN Legal business name Anderson, Ian Churchill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 14th, 2021 - about 3 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 1518055573 NPPES
California MEDICAID 00A494810

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