Sean Garrett Anderson
Individual provider Active NPI Case Manager/Care Coordinator · Eureka, CA
NPI 1891027611 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1891027611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 720 Wood St
Eureka, CA 95501-4413 - Phone
- (707) 628-2990
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
720 Wood St
Eureka, CA 95501-4413
Mailing address
PO Box 6968
Eureka, CA 95502-6968
Phone (707) 407-5759
Other providers in Eureka, CA
- James Rager Anderson
- John Raymond Anderson
- Kristen Leigh Anderson
- R'Delle Marie Anderson
- Sara Anderson
- Shannon Marie Anderson
- Sienna Anderson
- Zachary Anderson
- Andrew Scott Greer, PHD
- William Andrews
All providers in Eureka, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.