Anderson, Mary Ann
Anderson, Mary Ann is an individual health care provider with primary practice located at 1001 Main St W , Ashland WI 54806-1307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anderson, Mary Ann can be contacted via phone (715) 682-5601.Contact Information
Primary practice address
1001 Main St W
Ashland WI 54806-1307
Phone: (715) 682-5601
Fax: (715) 682-6878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28204 | Wisconsin |
Profile Details
| NPI number | 1972511418 |
|---|---|
| LBN Legal business name | Anderson, Mary Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972511418 | NPPES |
| Wisconsin | Other | 28204 | STATE LICENSE |
| Wisconsin | MEDICAID | 30806100 | STATE LICENSE |
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