Anderson, Nicholas L
Anderson, Nicholas L is an individual health care provider with primary practice located at 130 2Nd St , Neenah WI 54956-2883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, Nicholas L can be contacted via phone (920) 969-7906.Contact Information
Primary practice address
130 2Nd St
Neenah WI 54956-2883
Phone: (920) 969-7906
Fax: (920) 969-7979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 73724-20 | Wisconsin |
Profile Details
| NPI number | 1366976409 |
|---|---|
| LBN Legal business name | Anderson, Nicholas L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2017 |
| Last updated | Jul 31st, 2020 - about 4 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 | 1366976409 | NPPES |
| Wisconsin | MEDICAID | 1366976409 |
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