NPI 1861033540

Ed William Anderson

Practitioner Home Modifications Contractor Suffolk, VA

Practice location

Address: 401 Linden Ave, Suffolk, VA 23434-5827
Phone: (757) 749-5579

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 2705128261 (VA)

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Registry record

NPI: 1861033540
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2019
Record last updated: 3 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.