Anderson, Paul Roger

Anderson, Paul Roger is an individual health care provider with primary practice located at 1420 N Tracy Blvd , Tracy CA 95376-3451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Paul Roger can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
1420 N Tracy Blvd Tracy CA 95376-3451
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA15414 California

Profile Details

NPI number 1184605396
LBN Legal business name Anderson, Paul Roger
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 9th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184605396 NPPES
California MEDICAID 0PA154140
California Other 0PA154140

Popular Providers