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Contact Information

TIMOTHY J ANDERSON
320 N EISENHOWER AVE
MASON CITY, IA50401-1521
 Phone: 641-424-0783
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for TIMOTHY J ANDERSON · (Male)

NPI # 1154037117
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2023
Last updated 01/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IA License # T23009
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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