Anderson, Brent R
Anderson, Brent R is an individual health care provider with primary practice located at 2501 Calvert St Nw Ste 101 , Washington DC 20008-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Anderson, Brent R can be contacted via phone (202) 462-8500.Contact Information
Primary practice address
2501 Calvert St Nw Ste 101
Washington DC 20008-2604
Phone: (202) 462-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | D51912 | Maryland |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD22000 | District of Columbia |
Profile Details
| NPI number | 1588670590 |
|---|---|
| LBN Legal business name | Anderson, Brent R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Feb 14th, 2024 - 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 | 1588670590 | NPPES |
| Maryland | MEDICAID | 456121000 |
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