Edward E Anderson Jr.
Community Health Worker in Hyde Park, Massachusetts
1538775309- Practice location
- 64 Poydras St, Hyde Park, MA 02136-6419
- Phone
- 617-637-1478
- Fax
- —
- Last updated
- September 17, 2020
Edward Earl Anderson is a Community Health Worker based in Hyde Park, MA. Edward Earl Anderson practices in Hyde Park, MA. The NPI Number for Edward Earl Anderson is 1538775309. The current practice location address for Edward Earl Anderson is 64 Poydras St, Hyde Park, MA 02136-6419 and can be reached out via phone at 617-637-1478.
Provider Profile Details
- NPI Number
- 1538775309
- Provider Name
- Edward Earl Anderson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 64 Poydras St, Hyde Park, MA 02136-6419
- Phone Number
- 617-637-1478
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 17, 2020
- Last Update Date
- September 17, 2020
- Certification Date
- September 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Poydras St
Hyde Park, MA 02136-6419 - City
- Hyde Park
- State
- Massachusetts
- Zip
- 02136-6419
- Phone Number
- 617-637-1478
Provider Business Mailing Address Details
- Address
- 64 Poydras St
Hyde Park, MA 02136-6419 - City
- Hyde Park
- State
- MA
- Zip
- 02136-6419
- Phone Number
- 617-637-1478
License Information
- Taxonomy (1)
- Case Manager/Care Coordinator · 171M00000X
- Taxonomy (2)
- Health Educator · 174H00000X
- Taxonomy (3)
- Peer Specialist · 175T00000X
- Taxonomy (4)
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edward E Anderson Jr.?
The NPI number of Edward E Anderson Jr. is 1538775309. It was assigned on September 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Edward E Anderson Jr.?
Edward E Anderson Jr. is registered under the primary taxonomy Community Health Worker (code 172V00000X).
Where does Edward E Anderson Jr. practice?
The practice location is 64 Poydras St, Hyde Park, MA 02136-6419. The office can be reached at 617-637-1478 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538775309 directly on the NPPES registry website.