Anderson, Richard P
Anderson, Richard P is an sole proprietor health care provider with primary practice located at 1804 Buena Vista St Cor. Buena Vista And Trinity, San Antonio TX 78207-3805. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Anderson, Richard P can be contacted via phone (210) 227-9921.Contact Information
Primary practice address
1804 Buena Vista St Cor. Buena Vista And Trinity
San Antonio TX 78207-3805
Phone: (210) 227-9921
Fax: (210) 223-4081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9649 | Texas |
Profile Details
| NPI number | 1033254859 |
|---|---|
| LBN Legal business name | Anderson, Richard P |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033254859 | NPPES |
| Texas | MEDICAID | 00790701 |
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