Anderson, Steven Kent
Anderson, Steven Kent is an individual health care provider with primary practice located at 1717 University Dr S , Fargo ND 58103-4939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Anderson, Steven Kent can be contacted via phone (701) 234-2305.Contact Information
Primary practice address
1717 University Dr S
Fargo ND 58103-4939
Phone: (701) 234-2305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A91472 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 070074 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | LT 11456 | North Dakota |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 11456 | North Dakota |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 52921 | Minnesota |
Profile Details
| NPI number | 1518991678 |
|---|---|
| LBN Legal business name | Anderson, Steven Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Sep 1st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518991678 | NPPES |
| California | Other | 00A914720 | MEDI-CAL PPIN# |
| California | MEDICAID | 11488 | MEDI-CAL PPIN# |
| California | MEDICAID | 4400978 | MEDI-CAL PPIN# |
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