Anderson, Stanley Martin

Anderson, Stanley Martin is an individual health care provider with primary practice located at 210 25Th Ave N Ste 1204 , Nashville TN 37203-1620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Anderson, Stanley Martin can be contacted via phone (615) 312-0600.

Contact Information

Primary practice address
210 25Th Ave N Ste 1204 Nashville TN 37203-1620
Phone: (615) 312-0600
Fax: (615) 320-3259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD5931 Tennessee

Profile Details

NPI number 1902991177
LBN Legal business name Anderson, Stanley Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 3rd, 2021 - about 3 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 1902991177 NPPES
Tennessee MEDICAID 3145872
Tennessee MEDICAID 1509244

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