National Provider Identifier Database

DALE E ANDERSON, LCPO – NPI #1285695007
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

DALE E ANDERSON, LCPO
2102 CARRIAGE DR SW
SUITE 102
OLYMPIA, WA98502-5700
Phone: 360-956-3333
Fax: 360-956-3339
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for DALE E ANDERSON

NPI Number 1285695007
Credentials LCPO
Entity Individual
Enumeration date 03/31/2006
Last updated 05/04/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • WA License #: OI00000176
  • WA License #: PS00000283
  • WA Medicaid: 9051483
  • WA Other: 3580WE BLUESHIELD
Hospital affiliation n/a

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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