Anderson, Robert Fredrick

Anderson, Robert Fredrick is an individual health care provider with primary practice located at 12 Acme Rd Suite #206, Brewer ME 04412-1546. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Anderson, Robert Fredrick can be contacted via phone (207) 262-9562.

Contact Information

Primary practice address
12 Acme Rd Suite #206 Brewer ME 04412-1546
Phone: (207) 262-9562
Fax: (207) 262-9564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 012968 Maine
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD1028 Maine

Profile Details

NPI number 1417064411
LBN Legal business name Anderson, Robert Fredrick
Credentials DPM,MD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Feb 20th, 2012 - about 13 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 1417064411 NPPES
Maine Other 3015281 AETNA
Maine Other 010474554 AETNA
Maine MEDICAID 433002600 AETNA
Maine Other E89937 AETNA
Maine Other 039571 AETNA

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