Anderson, Robert S

Anderson, Robert S is an individual health care provider with primary practice located at 66 Bramhall St , Portland ME 04102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Anderson, Robert S can be contacted via phone (207) 662-3157.

Contact Information

Primary practice address
66 Bramhall St Portland ME 04102
Phone: (207) 662-3157
Fax: (207) 662-4257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 018542 Maine
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 018542 Maine

Profile Details

NPI number 1821124025
LBN Legal business name Anderson, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2007
Last updated May 10th, 2011 - 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 1821124025 NPPES
New Hampshire MEDICAID 30209781

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