Anderson, Michael A
Anderson, Michael A is an individual health care provider with primary practice located at 1341 Market Ave N , Canton OH 44714-2605. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Anderson, Michael A can be contacted via phone (330) 453-8252.Contact Information
Primary practice address
1341 Market Ave N
Canton OH 44714-2605
Phone: (330) 453-8252
Fax: (330) 452-4655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 110791 | Ohio |
Profile Details
| NPI number | 1699028159 |
|---|---|
| LBN Legal business name | Anderson, Michael A |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2012 |
| Last updated | Oct 22nd, 2012 - about 12 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 | 1699028159 | NPPES |
| Ohio | MEDICAID | 2901131 |
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