Anderson, Paul Duane
Anderson, Paul Duane is an sole proprietor health care provider with primary practice located at 204 Lisa Marie Ct , Warner Robins GA 31088-2980. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Anderson, Paul Duane can be contacted via phone (478) 538-0677.Contact Information
Primary practice address
204 Lisa Marie Ct
Warner Robins GA 31088-2980
Phone: (478) 538-0677
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN239689 | Georgia |
Nursing Service Providers / Registered Nurse | 163W00000X | RN239689 | Georgia |
Profile Details
NPI number | 1427654508 |
---|---|
LBN Legal business name | Anderson, Paul Duane |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 5th, 2020 |
Last updated | Aug 24th, 2023 - about 2 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 | 1427654508 | NPPES |
Georgia | Other | 163W00000X | NA |
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