Anderson, Joseph D

Anderson, Joseph D is an individual health care provider with primary practice located at 2375 E Sunnyside Rd Suite J, Idaho Falls ID 83404-8280. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Anderson, Joseph D can be contacted via phone (208) 525-4888.

Contact Information

Primary practice address
2375 E Sunnyside Rd Suite J Idaho Falls ID 83404-8280
Phone: (208) 525-4888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA313 Idaho

Profile Details

NPI number 1386699833
LBN Legal business name Anderson, Joseph D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 28th, 2014 - about 11 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 1386699833 NPPES
Idaho MEDICAID 806047800

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