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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083655021 NPPES
Other P00257069 MEDICARE RR

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