Anderson, Roger Allan
Anderson, Roger Allan is an individual health care provider with primary practice located at 502 S M St , Tacoma WA 98405-3728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Anderson, Roger Allan can be contacted via phone (800) 340-3595.Contact Information
Primary practice address
502 S M St
Tacoma WA 98405-3728
Phone: (800) 340-3595
Fax: (855) 929-1515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01054741A | Indiana |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD60956447 | Washington |
Profile Details
| NPI number | 1598797979 |
|---|---|
| LBN Legal business name | Anderson, Roger Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jan 3rd, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598797979 | NPPES |
| Washington | MEDICAID | 2157055 |
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