Anderson, Michael

Anderson, Michael is an individual health care provider with primary practice located at 2033 E Summersweet Dr , Boise ID 83716-6695. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Michael can be contacted via phone (208) 331-0182.

Contact Information

Primary practice address
2033 E Summersweet Dr Boise ID 83716-6695
Fax: (208) 331-0184
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D4324 Idaho

Profile Details

NPI number 1609181940
LBN Legal business name Anderson, Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2010
Last updated Aug 11th, 2010 - about 16 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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