Lilly, Allegra Danielle Anderson
Lilly, Allegra Danielle Anderson is an sole proprietor health care provider with primary practice located at 19800 Village Office Ct Ste 105 , Bend OR 97702-1813. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Lilly, Allegra Danielle Anderson can be contacted via phone (541) 647-1788.Contact Information
Primary practice address
19800 Village Office Ct Ste 105
Bend OR 97702-1813
Phone: (541) 647-1788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 17100004 | Tennessee |
Profile Details
| NPI number | 1932619319 |
|---|---|
| LBN Legal business name | Lilly, Allegra Danielle Anderson |
| Credentials | CPM, LDM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2017 |
| Last updated | Oct 11th, 2017 - about 8 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 | 1932619319 | NPPES |
| Tennessee | Other | 17100004 | NARM |
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