Anderson, Kanesha
Anderson, Kanesha is an sole proprietor health care provider with primary practice located at 8910 W Monroe St , Peoria AZ 85345-6440. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Anderson, Kanesha can be contacted via phone (623) 248-4347.Contact Information
Primary practice address
8910 W Monroe St
Peoria AZ 85345-6440
Phone: (623) 248-4347
Fax: (623) 248-4355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | BH5607 | Arizona |
Profile Details
| NPI number | 1245892199 |
|---|---|
| LBN Legal business name | Anderson, Kanesha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2019 |
| Last updated | Jul 1st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245892199 | NPPES |
| Arizona | MEDICAID | 506836 |
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