Anderson, Mary Beth
Anderson, Mary Beth is an sole proprietor health care provider with primary practice located at 18756 Millar Rd , Clinton Township MI 48036-2095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as her primary health care specialty. Anderson, Mary Beth can be contacted via phone (586) 381-0177.Contact Information
Primary practice address
18756 Millar Rd
Clinton Township MI 48036-2095
Phone: (586) 381-0177
Fax: (859) 987-7661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 5101011355 | Michigan |
Profile Details
| NPI number | 1457419160 |
|---|---|
| LBN Legal business name | Anderson, Mary Beth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 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 | 1457419160 | NPPES |
| Michigan | Other | 2155003214 | BCBS |
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