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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679579825 NPPES
Other 390007574 RRB PTAN
MEDICAID 261089200 RRB PTAN

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