Andersen, Caroline D

Andersen, Caroline D is an individual health care provider with primary practice located at 415 E Harding Way Suite D, Stockton CA 95204-6118. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Andersen, Caroline D can be contacted via phone (209) 944-5750.

Contact Information

Primary practice address
415 E Harding Way Suite D Stockton CA 95204-6118
Phone: (209) 944-5750
Fax: (209) 464-2684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA21726 California

Profile Details

NPI number 1669755682
LBN Legal business name Andersen, Caroline D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2011
Last updated Sep 26th, 2011 - about 15 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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