Anderson, Libby S

Anderson, Libby S is an individual health care provider with primary practice located at 205 N East Ave Imaging Department, Jackson MI 49201-1753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Anderson, Libby S can be contacted via phone (517) 783-2612.

Contact Information

Primary practice address
205 N East Ave Imaging Department Jackson MI 49201-1753
Phone: (517) 783-2612
Fax: (517) 783-6095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301043816 Michigan

Profile Details

NPI number 1215938782
LBN Legal business name Anderson, Libby S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 12th, 2017 - about 7 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 1215938782 NPPES
Michigan MEDICAID 1434678
Michigan Other 3003800401
Michigan Other 300020171
Michigan Other 4301043816

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