Anderson, Sharon R

Anderson, Sharon R is an individual health care provider with primary practice located at 1210 Homelife Plz , Rolla MO 65401-2512. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Anderson, Sharon R can be contacted via phone (573) 341-2971.

Contact Information

Primary practice address
1210 Homelife Plz Rolla MO 65401-2512
Phone: (573) 341-2971
Fax: (573) 341-8174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000780 Missouri

Profile Details

NPI number 1417919432
LBN Legal business name Anderson, Sharon R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Sep 27th, 2010 - about 15 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 1417919432 NPPES
Missouri MEDICAID 308858919

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