Anderson, Michael Edward
Anderson, Michael Edward is an sole proprietor health care provider with primary practice located at 18709 Crestwood Dr , Hagerstown MD 21742-2705. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Michael Edward can be contacted via phone (301) 797-6841.Contact Information
Primary practice address
18709 Crestwood Dr
Hagerstown MD 21742-2705
Phone: (301) 797-6841
Fax: (301) 739-7965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5413 | Maryland |
Profile Details
| NPI number | 1275551319 |
|---|---|
| LBN Legal business name | Anderson, Michael Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 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 | 1275551319 | NPPES |
| Massachusetts | Other | ZBE686 | BC/BS OF MA |
| Massachusetts | Other | 1637929 | BC/BS OF MA |
| Massachusetts | Other | 5926263 | BC/BS OF MA |
| Massachusetts | Other | 1102 | BC/BS OF MA |
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