Anderson, Scott L

Anderson, Scott L is an individual health care provider with primary practice located at 202D Mcgill Ave Nw , Concord NC 28025-4615. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Anderson, Scott L can be contacted via phone (704) 792-2242.

Contact Information

Primary practice address
202D Mcgill Ave Nw Concord NC 28025-4615
Fax: (704) 792-2272
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201812 North Carolina

Profile Details

NPI number 1992778559
LBN Legal business name Anderson, Scott L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated May 11th, 2016 - about 8 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 1992778559 NPPES
North Carolina MEDICAID P83295

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