Anderson, Kenneth R

Anderson, Kenneth R is an sole proprietor health care provider with primary practice located at 810 S Waukegan Rd , Lake Forest IL 60045-2693. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Anderson, Kenneth R can be contacted via phone (847) 295-0515.

Contact Information

Primary practice address
810 S Waukegan Rd Lake Forest IL 60045-2693
Phone: (847) 295-0515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019019692 Illinois

Profile Details

NPI number 1992003370
LBN Legal business name Anderson, Kenneth R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2011
Last updated Mar 8th, 2011 - about 13 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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