Anderson, Angela K

Anderson, Angela K is an individual health care provider with primary practice located at 2820 Mount Rushmore Rd , Rapid City SD 57701-5462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Angela K can be contacted via phone (605) 342-3280.

Contact Information

Primary practice address
2820 Mount Rushmore Rd Rapid City SD 57701-5462
Phone: (605) 342-3280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036094384 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 61886 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9035 South Dakota

Profile Details

NPI number 1407843683
LBN Legal business name Anderson, Angela K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Apr 19th, 2016 - about 10 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 1407843683 NPPES
Illinois Other P00009296 MEDICARE RR
Illinois Other 5236530001 MEDICARE RR

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