Anderson, Misha A

Anderson, Misha A is an individual health care provider with primary practice located at 3607 N Ridge Rd , Wichita KS 67205-1230. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Anderson, Misha A can be contacted via phone (316) 721-2701.

Contact Information

Primary practice address
3607 N Ridge Rd Wichita KS 67205-1230
Phone: (316) 721-2701
Fax: (316) 721-8612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1710 Kansas

Profile Details

NPI number 1649247552
LBN Legal business name Anderson, Misha A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Dec 6th, 2013 - 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 1649247552 NPPES
Kansas Other CD2825 RAIL ROAD MEDICARE GROUP
Kansas Other P00349094 RAIL ROAD MEDICARE GROUP
Kansas MEDICAID 200347590A RAIL ROAD MEDICARE GROUP

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