Anderson, Mark William

Anderson, Mark William is an sole proprietor health care provider with primary practice located at 2320 Walnut St , Blue Island IL 60406-2106. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Anderson, Mark William can be contacted via phone (708) 371-3311.

Contact Information

Primary practice address
2320 Walnut St Blue Island IL 60406-2106
Phone: (708) 371-3311
Fax: (708) 371-7963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1245399096
LBN Legal business name Anderson, Mark William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Jul 8th, 2007 - about 17 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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