Anderson, Roger D
Anderson, Roger D is an sole proprietor health care provider with primary practice located at 101 Putnam St , Marietta OH 45750-2924. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Anderson, Roger D can be contacted via phone (740) 374-9990.Contact Information
Primary practice address
101 Putnam St
Marietta OH 45750-2924
Phone: (740) 374-9990
Fax: (740) 374-9993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35063586 | Ohio |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 35.063586 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.063586 | Ohio |
Profile Details
| NPI number | 1689676264 |
|---|---|
| LBN Legal business name | Anderson, Roger D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Sep 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689676264 | NPPES |
| West Virginia | MEDICAID | 0077532001 | |
| West Virginia | Other | 000000391651 | |
| West Virginia | MEDICAID | 2276880 | |
| West Virginia | Other | P00338056 |
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