Anderson, Robert James

Anderson, Robert James is an individual health care provider with primary practice located at 2502 S Ashland Ave , Green Bay WI 54304-5252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Robert James can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
2502 S Ashland Ave Green Bay WI 54304-5252
Phone: (920) 496-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37942 Wisconsin

Profile Details

NPI number 1477559938
LBN Legal business name Anderson, Robert James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 6th, 2022 - 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 1477559938 NPPES
Wisconsin MEDICAID 34238600

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