Anderson, Wayne Julius
Anderson, Wayne Julius is an individual health care provider with primary practice located at 550 E Colorado Blvd , Spearfish SD 57783-2776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Wayne Julius can be contacted via phone (605) 642-2030.Contact Information
Primary practice address
550 E Colorado Blvd
Spearfish SD 57783-2776
Phone: (605) 642-2030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1344 | South Dakota |
Profile Details
| NPI number | 1902834914 |
|---|---|
| LBN Legal business name | Anderson, Wayne Julius |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1902834914 | NPPES |
| South Dakota | Other | 0007482 | WELLMARK BCBS |
| South Dakota | Other | 1344 | WELLMARK BCBS |
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