Anderson, James C
Anderson, James C is an individual health care provider with primary practice located at 1355 Riverside Ave Suite C, Fort Collins CO 80524-4366. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Anderson, James C can be contacted via phone (970) 484-4620.Contact Information
Primary practice address
1355 Riverside Ave Suite C
Fort Collins CO 80524-4366
Phone: (970) 484-4620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD.0000350 | Colorado |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | POD.0000350 | Colorado |
Profile Details
| NPI number | 1275577389 |
|---|---|
| LBN Legal business name | Anderson, James C |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 12th, 2014 - about 12 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 | 1275577389 | NPPES |
| Colorado | MEDICAID | 01003508 | |
| Colorado | MEDICAID | 113904500 |
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