Anderson, James Kyle

Anderson, James Kyle is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Anderson, James Kyle can be contacted via phone (612) 672-7422.

Contact Information

Primary practice address
909 Fulton St Se Minneapolis MN 55455-4800
Phone: (612) 672-7422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 47836 Minnesota

Profile Details

NPI number 1093819153
LBN Legal business name Anderson, James Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Oct 23rd, 2017 - about 9 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 1093819153 NPPES
Montana MEDICAID 0147121
Montana MEDICAID 0599407
Montana Other 1044923
Montana Other 2380609
Montana Other B666
Montana Other HP55786
Montana Other 19-00701
Montana MEDICAID 210077100
Montana Other 135228
Montana Other 153841
Montana Other 19-00018
Montana MEDICAID 34708900

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