Anderson, John Kenneth
Anderson, John Kenneth is an individual health care provider with primary practice located at 2305 Genoa Business Park Dr Ste 120 , Brighton MI 48114-7004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Anderson, John Kenneth can be contacted via phone (810) 494-6881.Contact Information
Primary practice address
2305 Genoa Business Park Dr Ste 120
Brighton MI 48114-7004
Phone: (810) 494-6881
Fax: (810) 494-6882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 061034 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301061034 | Michigan |
Profile Details
| NPI number | 1245377837 |
|---|---|
| LBN Legal business name | Anderson, John Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Feb 5th, 2019 - about 6 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 | 1245377837 | NPPES |
| Michigan | MEDICAID | 3227715 |
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