Anderson, Steven Andrew
Anderson, Steven Andrew is an individual health care provider with primary practice located at 1675 South Main Street Laurel Medical Center, Lower Level, London KY 40741. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Anderson, Steven Andrew can be contacted via phone (606) 878-6126.Contact Information
Primary practice address
1675 South Main Street Laurel Medical Center, Lower Level
London KY 40741
Phone: (606) 878-6126
Fax: (606) 878-0840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6656 | Kentucky |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 6656 | Kentucky |
Profile Details
| NPI number | 1861599201 |
|---|---|
| LBN Legal business name | Anderson, Steven Andrew |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861599201 | NPPES |
| Kentucky | Other | 12# 0000000 50768 | BCBS |
| Kentucky | MEDICAID | 60066560 | BCBS |
| Kentucky | Other | E604 | BCBS |
| Kentucky | MEDICAID | 64066566 | BCBS |
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