Anderson, Scott Alan

Anderson, Scott Alan is an individual health care provider with primary practice located at 1910 Alabama St , Sturgeon Bay WI 54235-3532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Scott Alan can be contacted via phone (920) 746-7200.

Contact Information

Primary practice address
1910 Alabama St Sturgeon Bay WI 54235-3532
Phone: (920) 746-7200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38394-20 Wisconsin

Profile Details

NPI number 1124042429
LBN Legal business name Anderson, Scott Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Sep 4th, 2013 - about 12 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 1124042429 NPPES
Wisconsin Other 38394-20 WI LICENSE

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