Anderson, Wayne Julius

Anderson, Wayne Julius is an individual health care provider with primary practice located at 550 E Colorado Blvd , Spearfish SD 57783-2776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Wayne Julius can be contacted via phone (605) 642-2030.

Contact Information

Primary practice address
550 E Colorado Blvd Spearfish SD 57783-2776
Phone: (605) 642-2030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1344 South Dakota

Profile Details

NPI number 1902834914
LBN Legal business name Anderson, Wayne Julius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 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 1902834914 NPPES
South Dakota Other 0007482 WELLMARK BCBS
South Dakota Other 1344 WELLMARK BCBS

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