Anderson, John Samuel

Anderson, John Samuel is an individual health care provider with primary practice located at 4603 W 32Nd Ave , Denver CO 80212-1636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Anderson, John Samuel can be contacted via phone (720) 891-8322.

Contact Information

Primary practice address
4603 W 32Nd Ave Denver CO 80212-1636
Phone: (720) 891-8322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-2209 Guam
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2003014155 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47442 Colorado

Profile Details

NPI number 1376607150
LBN Legal business name Anderson, John Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Feb 22nd, 2023 - about last year

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 1376607150 NPPES
Colorado MEDICAID 65474091
Colorado Other 020065

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