Anderson, Wallace Steve
Anderson, Wallace Steve is an sole proprietor health care provider with primary practice located at 1311 Ocilla Rd , Douglas GA 31533-2213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Wallace Steve can be contacted via phone (912) 384-1043.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 028708 | Georgia |
Profile Details
| NPI number | 1881622314 |
|---|---|
| LBN Legal business name | Anderson, Wallace Steve |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Dec 5th, 2014 - about 11 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 | 1881622314 | NPPES |
| Georgia | MEDICAID | 000325663A |
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