Anderson Urologic Associates, P.C.

LBN: Anderson Urologic Associates, P.C.
Anderson Urologic Associates, P.C. is an health care organization with primary practice located at 141 W 22Nd St Suite 213, Anderson IN 46016-4304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Anderson Urologic Associates, P.C. can be contacted via phone (765) 643-0766, or through Blake, Randall Charles via phone (765) 643-0766.

Contact Information

Primary practice address
141 W 22Nd St Suite 213 Anderson IN 46016-4304
Phone: (765) 643-0766
Fax: (765) 640-2353
Website:
Map and Directions
Authorized official contact:
Name: Blake, Randall Charles Doctor of Medicine (MD)
Phone: (765) 643-0766

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 50002645A Indiana

Profile Details

NPI number 1194791509
LBN Legal business name Anderson Urologic Associates, P.C.
DBA Doing business as
Authorized official Blake, Randall Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194791509 NPPES
Indiana Other 50002645A LICENSE

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