Anderson, Lee Stewart

Anderson, Lee Stewart is an individual health care provider with primary practice located at 455 St. Michaels Drive , Santa Fe NM 87505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Lee Stewart can be contacted via phone (505) 913-3934.

Contact Information

Primary practice address
455 St. Michaels Drive Santa Fe NM 87505
Phone: (505) 913-3934
Fax: (505) 368-6431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 227729 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2009-0234 New Mexico

Profile Details

NPI number 1962411009
LBN Legal business name Anderson, Lee Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Nov 3rd, 2016 - about 8 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 1962411009 NPPES
Arizona MEDICAID 263793
Arizona MEDICAID 58634266
Arizona MEDICAID 29370540

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