Anderson, Patricia J
Anderson, Patricia J is an sole proprietor health care provider with primary practice located at 1847 Florida Ave , Panama City FL 32405-4640. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Anderson, Patricia J can be contacted via phone (850) 890-1719.Contact Information
Primary practice address
1847 Florida Ave
Panama City FL 32405-4640
Phone: (850) 890-1719
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME82277 | Florida |
Profile Details
| NPI number | 1679579825 |
|---|---|
| LBN Legal business name | Anderson, Patricia J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Apr 18th, 2018 - about 6 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 | 1679579825 | NPPES |
| Other | 390007574 | RRB PTAN | |
| MEDICAID | 261089200 | RRB PTAN |
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