Anderson, Mary C
Anderson, Mary C is an individual health care provider with primary practice located at 4100 Harrison St , Batesville AR 72501-9419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anderson, Mary C can be contacted via phone (870) 307-0001.Contact Information
Primary practice address
4100 Harrison St
Batesville AR 72501-9419
Phone: (870) 307-0001
Fax: (870) 307-0395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-1905 | Arkansas |
Profile Details
| NPI number | 1083611057 |
|---|---|
| LBN Legal business name | Anderson, Mary C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Nov 1st, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083611057 | NPPES |
| Other | 080189277 | RAILROAD MEDICARE | |
| MEDICAID | 138378001 | RAILROAD MEDICARE |
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