Anderson, Stephen Carl
Anderson, Stephen Carl is an sole proprietor health care provider with primary practice located at 1353 74Th Cir Ne , St Petersburg FL 33702-4617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Anderson, Stephen Carl can be contacted via phone (727) 526-9207.Contact Information
Primary practice address
1353 74Th Cir Ne
St Petersburg FL 33702-4617
Phone: (727) 526-9207
Fax: (727) 520-8197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME47464 | Florida |
Profile Details
| NPI number | 1871547737 |
|---|---|
| LBN Legal business name | Anderson, Stephen Carl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jan 17th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871547737 | NPPES |
| Other | 300075304 | RAILROAD MEDICARE | |
| Other | 09657 | RAILROAD MEDICARE | |
| MEDICAID | 063561800 | RAILROAD MEDICARE |
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