Anderson, Eric Thor
Anderson, Eric Thor is an individual health care provider with primary practice located at 3200 W Centre Ave , Portage MI 49024-4889. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Anderson, Eric Thor can be contacted via phone (269) 324-0799.Contact Information
Primary practice address
3200 W Centre Ave
Portage MI 49024-4889
Phone: (269) 324-0799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704257204 | Michigan |
Profile Details
| NPI number | 1770096745 |
|---|---|
| LBN Legal business name | Anderson, Eric Thor |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2017 |
| Last updated | Mar 7th, 2023 - about 3 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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