Anderson, John Roger
Anderson, John Roger is an individual health care provider with primary practice located at 8611 W Eagle Ridge Rd , Coeur D Alene ID 83814-9565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Anderson, John Roger can be contacted via phone (208) 664-4455.Contact Information
Primary practice address
8611 W Eagle Ridge Rd
Coeur D Alene ID 83814-9565
Phone: (208) 664-4455
Fax: (208) 664-4159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0102204169 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | O-0349 | Idaho |
Profile Details
| NPI number | 1366490773 |
|---|---|
| LBN Legal business name | Anderson, John Roger |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Aug 4th, 2023 - about 2 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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