Anderson, Mark
Anderson, Mark is an individual health care provider with primary practice located at Spangdahlem Afb , Apo AE 09126-3865. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Anderson, Mark can be contacted via phone 496561618333.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301052030 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301052030 | Michigan |
Profile Details
| NPI number | 1093795296 |
|---|---|
| LBN Legal business name | Anderson, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 20th, 2012 - about 12 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 | 1093795296 | NPPES |
| Michigan | Other | MA052030 | HEALTH PLUS & BCBS |
| Michigan | Other | 1386624278 | HEALTH PLUS & BCBS |
| Michigan | MEDICAID | 4350535 | HEALTH PLUS & BCBS |
| Michigan | Other | 0B56065013 | HEALTH PLUS & BCBS |
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