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Contact Information

NATHANIAL R ANDERSON
29632 HWY 299E
ROUND MOUNTAIN, CA96084
 Phone: 530-337-5750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NATHANIAL R ANDERSON · (Male)

NPI # 1376731570
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2007
Last updated 04/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 53324
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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