Anderson, John David

Anderson, John David is an sole proprietor health care provider with primary practice located at 4469 Green Valley Road , Fairfield CA 94534-1365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Anderson, John David can be contacted via phone (707) 864-8188.

Contact Information

Primary practice address
4469 Green Valley Road Fairfield CA 94534-1365
Phone: (707) 864-8188
Fax: (707) 864-8188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G19714 California

Profile Details

NPI number 1235435637
LBN Legal business name Anderson, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2011
Last updated Aug 24th, 2026 - about 2 months 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 1235435637 NPPES
California Other G19714 MED BOARD OF CALIFORNIA PHYSICIAN & SURGEON

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