Anderson, Stephen

Anderson, Stephen is an individual health care provider with primary practice located at 18300 Us Highway 18 , Apple Valley CA 92307-2206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Stephen can be contacted via phone (760) 242-2311.

Contact Information

Primary practice address
18300 Us Highway 18 Apple Valley CA 92307-2206
Phone: (760) 242-2311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A81689 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME154012 Florida

Profile Details

NPI number 1659554194
LBN Legal business name Anderson, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Jun 22nd, 2023 - about 3 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 1659554194 NPPES
California MEDICAID 00A816890

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