National Provider Identifier Database

MARK W ANDERSON, CPO – NPI #1467492660
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

MARK W ANDERSON, CPO
1079 VENDALL RD
DYERSBURG, TN38024-1622
Phone: 731-286-6006
Fax: 731-286-5570
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for MARK W ANDERSON

NPI Number 1467492660
Credentials CPO
Entity Individual
Enumeration date 06/07/2006
Last updated 03/25/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • TN Medicaid: 1454453
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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