Anderson, Rodney J

Anderson, Rodney J is an sole proprietor health care provider with primary practice located at 1300 N Pennsylvania St Suite 200, Indianapolis IN 46202-4453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Anderson, Rodney J can be contacted via phone (317) 968-0409.

Contact Information

Primary practice address
1300 N Pennsylvania St Suite 200 Indianapolis IN 46202-4453
Phone: (317) 968-0409
Fax: (317) 968-0402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 02000697A Indiana

Profile Details

NPI number 1275511586
LBN Legal business name Anderson, Rodney J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2006
Last updated Jan 12th, 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 1275511586 NPPES
Indiana Other 203669845 FEDERAL TAX ID
Indiana Other 000000387137 FEDERAL TAX ID
Indiana Other 7402585 FEDERAL TAX ID
Indiana Other 000000387137 FEDERAL TAX ID
Indiana MEDICAID 200260200 B FEDERAL TAX ID

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