Anderson, Milo

Anderson, Milo is an individual health care provider with primary practice located at 3605 Executive Dr , San Angelo TX 76904-6884. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Anderson, Milo can be contacted via phone (325) 949-9555.

Contact Information

Primary practice address
3605 Executive Dr San Angelo TX 76904-6884
Phone: (325) 949-9555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1728 Texas

Profile Details

NPI number 1053339713
LBN Legal business name Anderson, Milo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 9th, 2014 - about 11 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 1053339713 NPPES
Texas MEDICAID 181295002

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