Anderson, Mark Doran
Anderson, Mark Doran is an sole proprietor health care provider with primary practice located at 96 Danbury Rd , Ridgefield CT 06877-4069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, Mark Doran can be contacted via phone (203) 438-0874.Contact Information
Primary practice address
96 Danbury Rd
Ridgefield CT 06877-4069
Phone: (203) 438-0874
Fax: (203) 438-5986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | CT027066 | Connecticut |
Profile Details
| NPI number | 1679640866 |
|---|---|
| LBN Legal business name | Anderson, Mark Doran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Nov 18th, 2011 - about 13 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 | 1679640866 | NPPES |
| Connecticut | Other | 010027066CT01 | BCBS-CT |
| Connecticut | Other | ZP138 | BCBS-CT |
| Connecticut | Other | 774197 | BCBS-CT |
| Connecticut | Other | 1237318 | BCBS-CT |
| Connecticut | MEDICAID | 001270669 | BCBS-CT |
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