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Contact Information

MARSHALL ANDERSON, MS LAT ATC
101 GOPHER BOULEVARD
GRAND PRAIRIE, TX75051
 Phone: 972-809-5762
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MARSHALL ANDERSON · (Male)

NPI Number 1477000883
Status Active
Credentials MS LAT ATC
Entity Individual
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # AT2069
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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