Anderson, Roger Allan

Anderson, Roger Allan is an individual health care provider with primary practice located at 1405 4Th St Sw West Side Professional Center Ste 2, Sidney MT 59270-3515. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Roger Allan can be contacted via phone (406) 488-2705.

Contact Information

Primary practice address
1405 4Th St Sw West Side Professional Center Ste 2 Sidney MT 59270-3515
Phone: (406) 488-2705
Fax: (406) 488-2713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 414 Montana

Profile Details

NPI number 1740345776
LBN Legal business name Anderson, Roger Allan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
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 1740345776 NPPES
Montana MEDICAID 0480857
Montana Other 27110

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