Anderson, Carrie L
Anderson, Carrie L is an sole proprietor health care provider with primary practice located at 20952 E 12 Mile Rd Ste 200 , Saint Clair Shores MI 48081-3203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Carrie L can be contacted via phone (586) 771-4820.Contact Information
Primary practice address
20952 E 12 Mile Rd Ste 200
Saint Clair Shores MI 48081-3203
Phone: (586) 771-4820
Fax: (586) 771-6620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209012068 | Illinois |
Profile Details
| NPI number | 1033515036 |
|---|---|
| LBN Legal business name | Anderson, Carrie L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2014 |
| Last updated | Sep 13th, 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 | 1033515036 | NPPES |
| Michigan | Other | 4704411664 | PROFESSIONAL LICENSE |
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