Anderson, Patrick

Anderson, Patrick is an individual health care provider with primary practice located at 185 Sherman Dr , St Johnsbury VT 05819-9811. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Anderson, Patrick can be contacted via phone (802) 748-5041.

Contact Information

Primary practice address
185 Sherman Dr St Johnsbury VT 05819-9811
Phone: (802) 748-5041
Fax: (802) 748-5094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010315-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055.0031225 Vermont

Profile Details

NPI number 1487640165
LBN Legal business name Anderson, Patrick
Credentials RPA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 27th, 2023 - about last year

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 1487640165 NPPES
New York Other AA1500 MEDICARE GROUP ID
New York MEDICAID 02596885 MEDICARE GROUP ID

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