Ansel Glen Anderson in Clarksville - Specialist

Ansel Glen Anderson - NPI 1538112602

Ansel Glen Anderson is a Specialist in Clarksville, Tennessee. Ansel Glen Anderson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ansel Glen Anderson is 1538112602. The last update date is 2008-04-14.

Ansel Glen Anderson's current location address is Po Box 3490, Clarksville, Tennessee. You can contact this provider via phone number 9316475034 and fax number 9315526663. The mailing address for Ansel Glen Anderson is Po Box 3490, Clarksville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Ansel Glen Anderson
Address Po Box 3490, Clarksville, Tennessee
Phone Number 9316475034
Fax Number 9315526663
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1538112602
Provider Enumeration Date 2006-05-18
Last Updated Date 2008-04-14

Provider Mailing Address Detail

Address Po Box 3490
City Clarksville
State Tennessee (TN)
Post Code 370433490
Phone Number 9316475034
Fax Number 9315526663

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD40430
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00313053 TN RAILROAD MEDICARE
3335732 TN --
4118861 TN BCBS PROVIDER NUMBER

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FAQs about Ansel Glen Anderson

What is the unique identifier code issued to Ansel Glen Anderson by the Centers for Medicare & Medicaid Services?

The Ansel Glen Anderson has been assigned the NPI (National Provider Identifier) 1538112602. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ansel Glen Anderson is physically located?

The Ansel Glen Anderson is situated at the following address: Po Box 3490, Clarksville, TN 370433490.

What is the Ansel Glen Anderson's area of specialization and corresponding taxonomy classification?

The Ansel Glen Anderson's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date was the 1538112602 assigned to Ansel Glen Anderson?

The Ansel Glen Anderson was issued its 1538112602 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Ansel Glen Anderson's information last updated?

The Ansel Glen Anderson's information was last updated on 2008-04-14.

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