Anderson, Michael Luther

Anderson, Michael Luther is an individual health care provider with primary practice located at 5465 Main St , Sylvania OH 43560-2155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Anderson, Michael Luther can be contacted via phone (419) 885-8800.

Contact Information

Primary practice address
5465 Main St Sylvania OH 43560-2155
Fax: (419) 885-8600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 88744 Ohio

Profile Details

NPI number 1013058254
LBN Legal business name Anderson, Michael Luther
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013058254 NPPES
Michigan Other 4301085123 PHYSICIAN LICENSE
Michigan Other 88744 PHYSICIAN LICENSE

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