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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1871547737 NPPES
Other 300075304 RAILROAD MEDICARE
Other 09657 RAILROAD MEDICARE
MEDICAID 063561800 RAILROAD MEDICARE

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