Anderson, Shawn C

Anderson, Shawn C is an individual health care provider with primary practice located at 2024 15Th St Fl 2 , Meridian MS 39301-4130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Shawn C can be contacted via phone (601) 553-2000.

Contact Information

Primary practice address
2024 15Th St Fl 2 Meridian MS 39301-4130
Phone: (601) 553-2000
Fax: (601) 553-6873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16163 Mississippi

Profile Details

NPI number 1003831397
LBN Legal business name Anderson, Shawn C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 9th, 2013 - 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 1003831397 NPPES
Mississippi MEDICAID 00120272

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