Anderson, Thomas S

Anderson, Thomas S is an individual health care provider with primary practice located at 927 Churchill St W , Stillwater MN 55082-6605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Anderson, Thomas S can be contacted via phone (651) 439-5330.

Contact Information

Primary practice address
927 Churchill St W Stillwater MN 55082-6605
Phone: (651) 439-5330
Fax: (651) 439-4528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40536 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43474 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 40536 Minnesota

Profile Details

NPI number 1326011743
LBN Legal business name Anderson, Thomas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 4th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326011743 NPPES
Minnesota MEDICAID 016225600
Minnesota MEDICAID 34098000

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