Anderson, Justin Brandon

Anderson, Justin Brandon is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Justin Brandon can be contacted via phone (765) 741-1515.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 741-1515
Fax: (765) 751-5087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01072226A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01072226A Indiana

Profile Details

NPI number 1235459355
LBN Legal business name Anderson, Justin Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2010
Last updated Apr 23rd, 2024 - 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 1235459355 NPPES
Indiana Other M22404099 MEDICARE PTAN
Indiana MEDICAID 201094940 MEDICARE PTAN
Indiana Other P01253299 MEDICARE PTAN

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