Anderson, Ronald

Anderson, Ronald is an individual health care provider with primary practice located at 601 Fall St , Eau Claire WI 54703-3157. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Ronald can be contacted via phone (715) 524-4840.

Contact Information

Primary practice address
601 Fall St Eau Claire WI 54703-3157
Phone: (715) 524-4840
Fax: (715) 524-4236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2211-125 Wisconsin

Profile Details

NPI number 1609913839
LBN Legal business name Anderson, Ronald
Credentials MS, NCC, PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 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 1609913839 NPPES
Wisconsin MEDICAID 39214500

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