Anderson, Marshall W

Anderson, Marshall W is an individual health care provider with primary practice located at 1234 Huffman Mill Rd , Burlington NC 27215-8700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, Marshall W can be contacted via phone (336) 538-1234.

Contact Information

Primary practice address
1234 Huffman Mill Rd Burlington NC 27215-8700
Fax: (336) 538-2390
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0095-00299 North Carolina

Profile Details

NPI number 1194766378
LBN Legal business name Anderson, Marshall W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 5th, 2013 - about 11 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 1194766378 NPPES
North Carolina Other 2214153B MEDICARE PTAN
North Carolina MEDICAID 8911227 MEDICARE PTAN

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