Anderson, Andrew M
Anderson, Andrew M is an individual health care provider with primary practice located at 1300 Egg Harbor Rd Ste 152 , Sturgeon Bay WI 54235-1248. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Anderson, Andrew M can be contacted via phone (920) 746-0410.Contact Information
Primary practice address
1300 Egg Harbor Rd Ste 152
Sturgeon Bay WI 54235-1248
Phone: (920) 746-0410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X |
Profile Details
| NPI number | 1083722664 |
|---|---|
| LBN Legal business name | Anderson, Andrew M |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jan 9th, 2023 - about 2 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 | 1083722664 | NPPES |
| Wisconsin | MEDICAID | 40403200 |
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