Anderson, Marshall William

Anderson, Marshall William is an individual health care provider with primary practice located at 1400 E Kincaid St , Mount Vernon WA 98274-4127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Anderson, Marshall William can be contacted via phone (360) 848-4150.

Contact Information

Primary practice address
1400 E Kincaid St Mount Vernon WA 98274-4127
Phone: (360) 848-4150
Fax: (360) 848-4169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X MD00037814 Washington
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD00037814 Washington

Profile Details

NPI number 1417942038
LBN Legal business name Anderson, Marshall William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Oct 22nd, 2021 - about 4 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 1417942038 NPPES
Washington MEDICAID 1009946
Washington Other 263663

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