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

Primary practice address
Spangdahlem Afb Apo AE 09126-3865
Phone: 496561618333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
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

Popular Providers