Anderson, Nancy
Anderson, Nancy is an sole proprietor health care provider with primary practice located at 11370 Anderson St Ste 2600, Loma Linda CA 92354-3450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Anderson, Nancy can be contacted via phone (909) 558-2055.Contact Information
Primary practice address
11370 Anderson St Ste 2600
Loma Linda CA 92354-3450
Phone: (909) 558-2055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G34769 | California |
Profile Details
| NPI number | 1710091806 |
|---|---|
| LBN Legal business name | Anderson, Nancy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710091806 | NPPES |
| California | MEDICAID | 00G347690 |
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