Anderson, Marla R.
Anderson, Marla R. is an individual health care provider with primary practice located at 1001 Main St Ste 300 , Peoria IL 61606-2036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Anderson, Marla R. can be contacted via phone (309) 495-0250.Contact Information
Primary practice address
1001 Main St Ste 300
Peoria IL 61606-2036
Phone: (309) 495-0250
Fax: (309) 495-0276
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036106670 | Illinois |
Profile Details
NPI number | 1528130333 |
---|---|
LBN Legal business name | Anderson, Marla R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2006 |
Last updated | Aug 8th, 2016 - about 9 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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