Andersen, Robert Dan

Andersen, Robert Dan is an individual health care provider with primary practice located at 2200 E Parrish Ave Building E, Suite 201, Owensboro KY 42303-1449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Andersen, Robert Dan can be contacted via phone (270) 685-1605.

Contact Information

Primary practice address
2200 E Parrish Ave Building E, Suite 201 Owensboro KY 42303-1449
Fax: (270) 685-5535
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 33223 Kentucky

Profile Details

NPI number 1588617427
LBN Legal business name Andersen, Robert Dan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 29th, 2012 - about 13 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 1588617427 NPPES
Kentucky MEDICAID 64039415

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