Anderson, Edward Earl

Anderson, Edward Earl is an sole proprietor health care provider with primary practice located at 64 Poydras St , Hyde Park MA 02136-6419. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator, Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Anderson, Edward Earl can be contacted via phone (617) 637-1478.

Contact Information

Primary practice address
64 Poydras St Hyde Park MA 02136-6419
Phone: (617) 637-1478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Health Educator 174H00000X
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1538775309
LBN Legal business name Anderson, Edward Earl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 2020 - about 6 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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