Anderson, Paul S

Anderson, Paul S is an individual health care provider with primary practice located at 2701 Fox Run Pkwy , Yankton SD 57078-5350. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Paul S can be contacted via phone (605) 665-7762.

Contact Information

Primary practice address
2701 Fox Run Pkwy Yankton SD 57078-5350
Phone: (605) 665-7762
Fax: (605) 725-2614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 402 South Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 123 South Dakota

Profile Details

NPI number 1356364236
LBN Legal business name Anderson, Paul S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 29th, 2017 - about 9 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 1356364236 NPPES
South Dakota MEDICAID 9200817
South Dakota MEDICAID 46036358113

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