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Contact Information

DEAN C ANDERSON, MA, PT, CERT. MDT
2951 MONTVALE DRIVE
SUITE A
SPRINGFIELD, IL62704
 Phone: 217-698-4055
 Fax: 217-698-4056
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DEAN C ANDERSON · (Male)

NPI # 1780708958
Status Active
Credentials MA, PT, CERT. MDT
Entity Individual
Enumeration date 03/16/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 070.011395
  • IL Other 8432060 BCBS PROVIDER ID #
  • IL Other 560898 HEALTHLINK PROVIDER ID#
  • IL Other 364526905 TAX ID#
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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