Anderson, Justin Eric

Anderson, Justin Eric is an individual health care provider with primary practice located at 4315 28Th St , Lubbock TX 79410-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Anderson, Justin Eric can be contacted via phone (806) 792-2104.

Contact Information

Primary practice address
4315 28Th St Lubbock TX 79410-2507
Phone: (806) 792-2104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M9125 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 237829-1 New York

Profile Details

NPI number 1508916370
LBN Legal business name Anderson, Justin Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Oct 1st, 2008 - about 18 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 1508916370 NPPES
Texas Other 8H3782 BLUE CROSS BLUE SHIELD

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