Anderson, Mary Nell

Anderson, Mary Nell is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 706, Baton Rouge LA 70808-4300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Anderson, Mary Nell can be contacted via phone (225) 769-5554.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste 706 Baton Rouge LA 70808-4300
Fax: (225) 757-1959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 017212 Louisiana

Profile Details

NPI number 1801828116
LBN Legal business name Anderson, Mary Nell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 31st, 2008 - about 16 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 1801828116 NPPES
Louisiana MEDICAID 1375896

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