Anderson, Larry E
Anderson, Larry E is an individual health care provider with primary practice located at 2840 Crooks Rd Suite 111, Rochester Hills MI 48309-3619. 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, Larry E can be contacted via phone (248) 852-9290.Contact Information
Primary practice address
2840 Crooks Rd Suite 111
Rochester Hills MI 48309-3619
Phone: (248) 852-9290
Fax: (248) 852-0305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601001421 | Michigan |
Profile Details
| NPI number | 1023057056 |
|---|---|
| LBN Legal business name | Anderson, Larry E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Aug 31st, 2007 - about 19 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 | 1023057056 | NPPES |
| Michigan | Other | 5601001421 | PA LICENSE |
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