IndividualActive
Ed Anderson
NPI 1861033540 · Home Modifications Contractor · Suffolk, VA
Provider details
- NPI number
- 1861033540
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2705128261 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
401 Linden Ave
Suffolk, VA 23434-5827
Phone: (757) 749-5579
Approximate (ZIP-level) locationGet directions
Mailing address
401 Linden Ave
Suffolk, VA 23434-5827
Registry dates
- Enumerated
- 2019-10-03
- Last updated
- 2019-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.