Anderson, Terry A
Anderson, Terry A is an individual health care provider with primary practice located at 555 N Woodlawn St Ste 102 , Wichita KS 67208-3671. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Anderson, Terry A can be contacted via phone (316) 652-2590.Contact Information
Primary practice address
555 N Woodlawn St Ste 102
Wichita KS 67208-3671
Phone: (316) 652-2590
Fax: (316) 652-2595
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 74492 | Kansas |
Profile Details
NPI number | 1285682252 |
---|---|
LBN Legal business name | Anderson, Terry A |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Dec 6th, 2013 - about 12 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 | 1285682252 | NPPES |
Kansas | MEDICAID | 200517140C |
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