Anderson, Nicholas C

Anderson, Nicholas C is an individual health care provider with primary practice located at 1700 Keystone Pacific Pkwy , Patterson CA 95363-8874. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Anderson, Nicholas C can be contacted via phone (209) 895-4206.

Contact Information

Primary practice address
1700 Keystone Pacific Pkwy Patterson CA 95363-8874
Phone: (209) 895-4206
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA50433 California

Profile Details

NPI number 1962041301
LBN Legal business name Anderson, Nicholas C
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2020
Last updated Jan 2nd, 2020 - about 5 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 1962041301 NPPES
California Other PTA50433 PTA

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