Anderson, Todd E.

Anderson, Todd E. is an individual health care provider with primary practice located at 112 E 5Th Ave , Antigo WI 54409-2710. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Anderson, Todd E. can be contacted via phone (715) 623-2331.

Contact Information

Primary practice address
112 E 5Th Ave Antigo WI 54409-2710
Phone: (715) 623-2331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Wisconsin

Profile Details

NPI number 1750366480
LBN Legal business name Anderson, Todd E.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 9th, 2007 - about 18 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 1750366480 NPPES
Other 049068 CRNA RECERTIFICATION CARD
MEDICAID 43378100 CRNA RECERTIFICATION CARD

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