Anders, Mark

Anders, Mark is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Anders, Mark can be contacted via phone (719) 365-6999.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909-5533
Phone: (719) 365-6999
Fax: (719) 365-2837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME36173 Colorado

Profile Details

NPI number 1912957226
LBN Legal business name Anders, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912957226 NPPES
Colorado Other D4588 BLUE CROSS BLUE SHIELD
Colorado MEDICAID 001361732 BLUE CROSS BLUE SHIELD
Colorado Other 050054779 BLUE CROSS BLUE SHIELD

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