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Contact Information

MARK D ANDERSON, LPN
4210 WOOD PARK DR
STOW, OH44224-2651
 Phone: 330-688-2381
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for MARK D ANDERSON · (Male)

NPI Number 1912271818
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 02/24/2012
Last updated 02/24/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 145709
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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