Anderson, Tom

Anderson, Tom is an individual health care provider with primary practice located at 1025 9Th St #B, Cody WY 82414-3441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Anderson, Tom can be contacted via phone (307) 587-5622.

Contact Information

Primary practice address
1025 9Th St #B Cody WY 82414-3441
Phone: (307) 587-5622
Fax: (307) 587-5657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 9660 Montana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 6512A Wyoming

Profile Details

NPI number 1467433979
LBN Legal business name Anderson, Tom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Sep 8th, 2010 - 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 1467433979 NPPES
Wyoming MEDICAID 115669100
Wyoming MEDICAID 0045390
Wyoming Other 810511516010
Wyoming Other 308613
Wyoming Other 000092981

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