Anderson, Melvin
Anderson, Melvin is an individual health care provider with primary practice located at 2865 Ambassador Caffery Pkwy Ste 117 , Lafayette LA 70506. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Anderson, Melvin can be contacted via phone (337) 988-9399.Contact Information
Primary practice address
2865 Ambassador Caffery Pkwy Ste 117
Lafayette LA 70506
Phone: (337) 988-9399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4853 | Louisiana |
Profile Details
| NPI number | 1720029531 |
|---|---|
| LBN Legal business name | Anderson, Melvin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jun 19th, 2018 - about 8 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 | 1720029531 | NPPES |
| Louisiana | MEDICAID | 1848531 |
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