Anderson, Philip
Anderson, Philip is an sole proprietor health care provider with primary practice located at 524 Tyhee Ave , American Falls ID 83211-1224. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Anderson, Philip can be contacted via phone (208) 226-2411.Contact Information
Primary practice address
524 Tyhee Ave
American Falls ID 83211-1224
Phone: (208) 226-2411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P7578 | Idaho |
Profile Details
| NPI number | 1689027179 |
|---|---|
| LBN Legal business name | Anderson, Philip |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2016 |
| Last updated | Sep 9th, 2019 - about 6 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 | 1689027179 | NPPES |
| Idaho | MEDICAID | 0347100001 |
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