Anderson, Laurence J

Anderson, Laurence J is an individual health care provider with primary practice located at 1020 Sansom St Suite 239, Philadelphia PA 19107-5002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Laurence J can be contacted via phone (215) 955-6844.

Contact Information

Primary practice address
1020 Sansom St Suite 239 Philadelphia PA 19107-5002
Fax: (215) 955-2526
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 52173-21 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101017118 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS0006812L Pennsylvania

Profile Details

NPI number 1235181892
LBN Legal business name Anderson, Laurence J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 7th, 2023 - about last year

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 1235181892 NPPES
Pennsylvania MEDICAID 12278502
Pennsylvania MEDICAID 37585100
Pennsylvania MEDICAID 1235181892

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