Anderson, Todd Christopher
Anderson, Todd Christopher is an sole proprietor health care provider with primary practice located at 105 Jackson Street , Cabot AR 72023-3058. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Anderson, Todd Christopher can be contacted via phone (501) 941-3522.Contact Information
Primary practice address
105 Jackson Street
Cabot AR 72023-3058
Phone: (501) 941-3522
Fax: (501) 941-3525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ATP-000613 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004077 | Arkansas |
Profile Details
| NPI number | 1184047730 |
|---|---|
| LBN Legal business name | Anderson, Todd Christopher |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2014 |
| Last updated | Mar 7th, 2024 - 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 | 1184047730 | NPPES |
| Arkansas | MEDICAID | 202081758 |
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