Anderson, R Samuel

Anderson, R Samuel is an individual health care provider with primary practice located at 1500 S Dobson Rd Ste 314 , Mesa AZ 85202-4752. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Anderson, R Samuel can be contacted via phone (480) 833-7879.

Contact Information

Primary practice address
1500 S Dobson Rd Ste 314 Mesa AZ 85202-4752
Phone: (480) 833-7879
Fax: (480) 844-8411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 778 Arizona

Profile Details

NPI number 1366452856
LBN Legal business name Anderson, R Samuel
Credentials PT, DPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366452856 NPPES
Arizona Other 778 LICENSE

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