Anderson, Marlo S

Anderson, Marlo S is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-5611. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Anderson, Marlo S can be contacted via phone (864) 455-7000.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-5611
Phone: (864) 455-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 088665 South Carolina

Profile Details

NPI number 1679842140
LBN Legal business name Anderson, Marlo S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2011
Last updated Nov 3rd, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679842140 NPPES
South Carolina MEDICAID AN2178

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