Anderson, John R

Anderson, John R is an individual health care provider with primary practice located at 701 Ostrum St. Suite 401, Bethlehem PA 18015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Anderson, John R can be contacted via phone (610) 691-0351.

Contact Information

Primary practice address
701 Ostrum St. Suite 401 Bethlehem PA 18015
Fax: (610) 691-4131
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD030460L Pennsylvania

Profile Details

NPI number 1427012632
LBN Legal business name Anderson, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 4th, 2011 - about 14 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 1427012632 NPPES
Pennsylvania MEDICAID 0696748

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