Anderson, Keith Charles

Anderson, Keith Charles is an sole proprietor health care provider with primary practice located at 201 Governors Drive 1St Floor, Huntsville AL 35801-5123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Anderson, Keith Charles can be contacted via phone (256) 533-8100.

Contact Information

Primary practice address
201 Governors Drive 1St Floor Huntsville AL 35801-5123
Phone: (256) 533-8100
Fax: (256) 533-8101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X DO250 Alabama

Profile Details

NPI number 1285618975
LBN Legal business name Anderson, Keith Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Dec 11th, 2008 - about 17 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 1285618975 NPPES
Alabama Other 83822 BLUE CROSS
Alabama Other 180012766 BLUE CROSS
Alabama Other 8045502 BLUE CROSS
Alabama Other 167578000 BLUE CROSS
Alabama MEDICAID 000083822 BLUE CROSS
Alabama MEDICAID 4046275 BLUE CROSS
Alabama Other 1451629 BLUE CROSS

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