Anderson, Clinton

Anderson, Clinton is an individual health care provider with primary practice located at 12800 Bothell Everett Hwy , Everett WA 98208-6642. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Clinton can be contacted via phone (425) 316-5150.

Contact Information

Primary practice address
12800 Bothell Everett Hwy Everett WA 98208-6642
Phone: (425) 316-5150
Fax: (425) 225-1006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41558 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60037715 Washington

Profile Details

NPI number 1134106867
LBN Legal business name Anderson, Clinton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Feb 5th, 2015 - about 11 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 1134106867 NPPES
Minnesota Other 062M8AN BLUE CROSS
Minnesota MEDICAID 127521 BLUE CROSS
Minnesota MEDICAID 390405933 BLUE CROSS
Minnesota MEDICAID 3526343 BLUE CROSS
Minnesota MEDICAID 8523219 BLUE CROSS

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