Anderson, Donald
Anderson, Donald is an individual health care provider with primary practice located at 5725 S Ross Ave , Oklahoma City OK 73119-5650. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Donald can be contacted via phone (405) 685-4791.Contact Information
Primary practice address
5725 S Ross Ave
Oklahoma City OK 73119-5650
Phone: (405) 685-4791
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3090 | Oklahoma |
Profile Details
| NPI number | 1083655021 |
|---|---|
| LBN Legal business name | Anderson, Donald |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Dec 16th, 2009 - about 17 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 | 1083655021 | NPPES |
| Other | P00257069 | MEDICARE RR |
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