Anderson, Roger D

Anderson, Roger D is an sole proprietor health care provider with primary practice located at 101 Putnam St , Marietta OH 45750-2924. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Anderson, Roger D can be contacted via phone (740) 374-9990.

Contact Information

Primary practice address
101 Putnam St Marietta OH 45750-2924
Phone: (740) 374-9990
Fax: (740) 374-9993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35063586 Ohio
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35.063586 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.063586 Ohio

Profile Details

NPI number 1689676264
LBN Legal business name Anderson, Roger D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Sep 5th, 2012 - about 12 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 1689676264 NPPES
West Virginia MEDICAID 0077532001
West Virginia Other 000000391651
West Virginia MEDICAID 2276880
West Virginia Other P00338056

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