Anderson, Michael R

Anderson, Michael R is an individual health care provider with primary practice located at 4011 Talbot Rd S #220, Renton WA 98055-5791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Anderson, Michael R can be contacted via phone (425) 656-5300.

Contact Information

Primary practice address
4011 Talbot Rd S #220 Renton WA 98055-5791
Fax: (425) 656-5402
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD00014404 Washington

Profile Details

NPI number 1497740575
LBN Legal business name Anderson, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jul 9th, 2007 - about 17 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 1497740575 NPPES
Washington Other AN6847 REGENCE
Washington MEDICAID 1094895 REGENCE

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