Anderson, Tate Ezra
Anderson, Tate Ezra is an sole proprietor health care provider with primary practice located at 337 Greybull Ave , Greybull WY 82426-2049. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Tate Ezra can be contacted via phone (307) 765-4654.Contact Information
Primary practice address
337 Greybull Ave
Greybull WY 82426-2049
Phone: (307) 765-4654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1535 | Wyoming |
Profile Details
| NPI number | 1568023471 |
|---|---|
| LBN Legal business name | Anderson, Tate Ezra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2019 |
| Last updated | Jun 23rd, 2019 - about 7 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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