Pedersen, Anita M
Pedersen, Anita M is an individual health care provider with primary practice located at 1 Jarrett White Rd Department Of Pediatrics, Mchk-Pe, Tripler Army Medical Center HI 96859. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Pedersen, Anita M can be contacted via phone (808) 433-6407.Contact Information
Primary practice address
1 Jarrett White Rd Department Of Pediatrics, Mchk-Pe
Tripler Army Medical Center HI 96859
Phone: (808) 433-6407
Fax: (808) 433-4837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD-16097 | Hawaii |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | MD-16097 | Hawaii |
Profile Details
| NPI number | 1710947965 |
|---|---|
| LBN Legal business name | Pedersen, Anita M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Oct 4th, 2017 - about 7 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 | 1710947965 | NPPES |
| Hawaii | Other | MD-16097 | MEDICAL LICENSE |
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