Anderson, Mike

Anderson, Mike is an sole proprietor health care provider with primary practice located at 618 Nw 1St St , Meridian ID 83642-2505. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Anderson, Mike can be contacted via phone (208) 407-2077.

Contact Information

Primary practice address
618 Nw 1St St Meridian ID 83642-2505
Phone: (208) 407-2077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1194033746
LBN Legal business name Anderson, Mike
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2010
Last updated Sep 16th, 2010 - about 14 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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