Anderson, Darek
Anderson, Darek is an individual health care provider with primary practice located at 1595 E River Rd Ste 201 , Tucson AZ 85718-5984. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Anderson, Darek can be contacted via phone (520) 293-5757.Contact Information
Primary practice address
1595 E River Rd Ste 201
Tucson AZ 85718-5984
Phone: (520) 293-5757
Fax: (520) 293-7358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2857 | Arizona |
Profile Details
| NPI number | 1518932136 |
|---|---|
| LBN Legal business name | Anderson, Darek |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Aug 27th, 2019 - about 7 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 | 1518932136 | NPPES |
| California | Other | 52422 | STATE LICENCE NUMBER |
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