Anderson, Rick

Anderson, Rick is an individual health care provider with primary practice located at 702 W Chestnut St , Bloomington IL 61701-2814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Rick can be contacted via phone (309) 557-1400.

Contact Information

Primary practice address
702 W Chestnut St Bloomington IL 61701-2814
Phone: (309) 557-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036-075884 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48214 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.075884 Illinois

Profile Details

NPI number 1396772976
LBN Legal business name Anderson, Rick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jun 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396772976 NPPES
Arizona MEDICAID 947345

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