Anderson, Michael

Anderson, Michael is an individual health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Anderson, Michael can be contacted via phone (216) 844-1700.

Contact Information

Primary practice address
11100 Euclid Avenue Cleveland OH 44106
Phone: (216) 844-1700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35-064699 Ohio
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 35064699 Ohio

Profile Details

NPI number 1497746432
LBN Legal business name Anderson, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 22nd, 2011 - about 13 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 1497746432 NPPES
Ohio Other 363311 WELLCARE
Ohio Other P00411231 WELLCARE
Ohio MEDICAID 0237578 WELLCARE
Ohio Other 0659127 WELLCARE
Ohio Other 000000221343 WELLCARE
Ohio Other 0237578 WELLCARE
Ohio Other 200206430A WELLCARE
Ohio MEDICAID Q64699 WELLCARE
Ohio Other 000000525873 WELLCARE
Ohio Other 0016456270001 WELLCARE
Ohio Other 731836 WELLCARE

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