Anderson, Larry D
Anderson, Larry D is an sole proprietor health care provider with primary practice located at 2525 N Ankeny Blvd Suite 113, Ankeny IA 50023-4714. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Larry D can be contacted via phone (515) 289-9139.Contact Information
Primary practice address
2525 N Ankeny Blvd Suite 113
Ankeny IA 50023-4714
Phone: (515) 289-9139
Fax: (515) 189-9139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 00546 | Iowa |
Profile Details
| NPI number | 1356413256 |
|---|---|
| LBN Legal business name | Anderson, Larry D |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Oct 1st, 2010 - about 15 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 | 1356413256 | NPPES |
| Iowa | Other | IB1221 | PTAN |
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