Anderson, Marvin Neil
Anderson, Marvin Neil is an sole proprietor health care provider with primary practice located at 1200 Chesterly Dr Ste 100 , Yakima WA 98902-7339. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Marvin Neil can be contacted via phone (509) 712-2902.Contact Information
Primary practice address
1200 Chesterly Dr Ste 100
Yakima WA 98902-7339
Phone: (509) 712-2902
Fax: (509) 554-5595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60539401 | Washington |
Profile Details
| NPI number | 1770645285 |
|---|---|
| LBN Legal business name | Anderson, Marvin Neil |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Oct 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770645285 | NPPES |
| Tennessee | MEDICAID | 3925891 | |
| Tennessee | Other | 4110408 | |
| Tennessee | Other | 500566 |
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