Anderson, Anthony J

Anderson, Anthony J is an sole proprietor health care provider with primary practice located at 1501 Hiland Ave Ste A , Burley ID 83318-2682. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Anthony J can be contacted via phone (208) 878-9432.

Contact Information

Primary practice address
1501 Hiland Ave Ste A Burley ID 83318-2682
Phone: (208) 878-9432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52403-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-11018 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2723 Wisconsin

Profile Details

NPI number 1508021726
LBN Legal business name Anderson, Anthony J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2008
Last updated Dec 30th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508021726 NPPES
Wisconsin Other 2723 TEP

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