Anderson, Ivan

Anderson, Ivan is an individual health care provider with primary practice located at 3288 Bell Rd , Auburn CA 95603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Anderson, Ivan can be contacted via phone (530) 745-0700.

Contact Information

Primary practice address
3288 Bell Rd Auburn CA 95603
Phone: (530) 745-0700
Fax: (530) 745-0701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 15988 Nevada
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A110448 California

Profile Details

NPI number 1891960076
LBN Legal business name Anderson, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated May 31st, 2019 - about 5 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 1891960076 NPPES
Other 13566641 CAQH
MEDICAID 1891960076 CAQH

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