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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982679932 | NPPES |
Texas | MEDICAID | 161185701 | |
Texas | MEDICAID | 200019230A | |
Texas | Other | 0044ST | |
Texas | Other | 8B1207 |
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