Anderson, Kenneth E

Anderson, Kenneth E is an sole proprietor health care provider with primary practice located at 500 E Peyton St , Sherman TX 75090-0200. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Anderson, Kenneth E can be contacted via phone (903) 893-6000.

Contact Information

Primary practice address
500 E Peyton St Sherman TX 75090-0200
Phone: (903) 893-6000
Fax: (903) 868-1802
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L6764 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X L6764 Texas

Profile Details

NPI number 1982679932
LBN Legal business name Anderson, Kenneth E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Oct 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982679932 NPPES
Texas MEDICAID 161185701
Texas MEDICAID 200019230A
Texas Other 0044ST
Texas Other 8B1207

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