Anderson, Michael William

Anderson, Michael William is an individual health care provider with primary practice located at 642 Marmot Dr , Ridgway CO 81432-9484. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Michael William can be contacted via phone (303) 619-3787.

Contact Information

Primary practice address
642 Marmot Dr Ridgway CO 81432-9484
Phone: (303) 619-3787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37032 Colorado

Profile Details

NPI number 1659346377
LBN Legal business name Anderson, Michael William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Feb 23rd, 2022 - about 2 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 1659346377 NPPES
Colorado Other 930071972 RR MEDICARE
Colorado MEDICAID 56373384 RR MEDICARE

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