Anderson, Debra Mae

Anderson, Debra Mae is an individual health care provider with primary practice located at 2710 E Harney St Suite 100 Laramie Physicians For Children, Laramie WY 82072-2884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anderson, Debra Mae can be contacted via phone (307) 721-3118.

Contact Information

Primary practice address
2710 E Harney St Suite 100 Laramie Physicians For Children Laramie WY 82072-2884
Phone: (307) 721-3118
Fax: (307) 721-4880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5481A Wyoming

Profile Details

NPI number 1346284320
LBN Legal business name Anderson, Debra Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 26th, 2010 - about 16 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 1346284320 NPPES
Wyoming MEDICAID 110108100

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