Anderson, Kent Ernest

Anderson, Kent Ernest is an individual health care provider with primary practice located at 128 S 25Th St , Escanaba MI 49829-1364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Anderson, Kent Ernest can be contacted via phone (906) 786-4100.

Contact Information

Primary practice address
128 S 25Th St Escanaba MI 49829-1364
Phone: (906) 786-4100
Fax: (906) 786-3997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301043128 Michigan

Profile Details

NPI number 1083615041
LBN Legal business name Anderson, Kent Ernest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated May 6th, 2009 - about 17 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 1083615041 NPPES
Michigan MEDICAID 1419958
Michigan Other 2002100152

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