Anderson, Thomas M
Anderson, Thomas M is an individual health care provider with primary practice located at 10455 Lincoln Hwy , Everett PA 15537-7046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Anderson, Thomas M can be contacted via phone (814) 444-1918.Contact Information
Primary practice address
10455 Lincoln Hwy
Everett PA 15537-7046
Phone: (814) 444-1918
Fax: (814) 444-9782
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD072398L | Pennsylvania |
Profile Details
NPI number | 1487638748 |
---|---|
LBN Legal business name | Anderson, Thomas M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2005 |
Last updated | Feb 25th, 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 | 1487638748 | NPPES |
Pennsylvania | Other | 0676306000 | PERSONAL CHOICE |
Pennsylvania | Other | 332610 | PERSONAL CHOICE |
Pennsylvania | Other | 217176 | PERSONAL CHOICE |
Pennsylvania | MEDICAID | 407301100 | PERSONAL CHOICE |
Pennsylvania | MEDICAID | 117880 | PERSONAL CHOICE |
Pennsylvania | MEDICAID | 01183011505 | PERSONAL CHOICE |
Pennsylvania | MEDICAID | 1514715 | PERSONAL CHOICE |
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