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Contact Information

EDWARD ANDERSON, DPM
411 LETCHER ST
HENDERSON, KY42420-4245
 Phone: 270-830-6522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EDWARD ANDERSON · (Male)

NPI # 1366445462
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/23/2005
Last updated 04/07/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 0197
  • IN Medicaid 100381580A
  • KY Medicaid 80001977
  • IN Other P00733506 RAILROAD MEDICARE
  • KY Other 480034923 RAILROAD MEDICARE
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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