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
Phone: (810) 898-3234
Fax: (810) 985-6061
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093759045 | NPPES |
Michigan | MEDICAID | 2869778 |
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