Anthony J Anderson Md & Assoc Llc

LBN: Anthony J Anderson Md & Assoc Llc
Anthony J Anderson Md & Assoc Llc is an health care organization with primary practice located at 1404 Pomerelle Ave Ste B , Burley ID 83318-2013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Anthony J Anderson Md & Assoc Llc can be contacted via phone (208) 878-9432, or through Anderson, Anthony Judd via phone (208) 878-9432.

Contact Information

Primary practice address
1404 Pomerelle Ave Ste B Burley ID 83318-2013
Phone: (208) 878-9432
Fax: (208) 878-4576
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Anthony Judd Doctor of Medicine (MD)
Phone: (208) 878-9432

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-11018 Idaho

Profile Details

NPI number 1558604231
LBN Legal business name Anthony J Anderson Md & Assoc Llc
DBA Doing business as
Authorized official Anderson, Anthony Judd Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2013
Last updated Mar 18th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558604231 NPPES
Idaho MEDICAID 1508021726

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