Individual
JAMES DEVANE ANDERSON
Active
Individual
JAMES DEVANE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
684
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009809650
—
AL
01
—
1162690001
PTAN
AL
01
—
51032703
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/06/2016
Last updated
06/06/2016
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