Anderson, Robert Louis

Anderson, Robert Louis is an individual health care provider with primary practice located at 1017 2Nd St , Santa Rosa CA 95404-6608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Anderson, Robert Louis can be contacted via phone (707) 546-9800.

Contact Information

Primary practice address
1017 2Nd St Santa Rosa CA 95404-6608
Phone: (707) 546-9800
Fax: (707) 546-4112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G49374 California

Profile Details

NPI number 1801874144
LBN Legal business name Anderson, Robert Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jun 20th, 2012 - about 14 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 1801874144 NPPES
California MEDICAID 00G493740
California Other P01035543

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