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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1083611057 NPPES
Other 080189277 RAILROAD MEDICARE
MEDICAID 138378001 RAILROAD MEDICARE

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