Anderson, Richard Thomas

Anderson, Richard Thomas is an individual health care provider with primary practice located at 1221 Pine Grove Ave Laboratory Port Huron Hospital, Port Huron MI 48060-3511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Anderson, Richard Thomas can be contacted via phone (810) 898-3234.

Contact Information

Primary practice address
1221 Pine Grove Ave Laboratory Port Huron Hospital Port Huron MI 48060-3511
Fax: (810) 985-6061
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301059987 Michigan

Profile Details

NPI number 1093759045
LBN Legal business name Anderson, Richard Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 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 1093759045 NPPES
Michigan MEDICAID 2869778

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