Provider Demographics
NPI:1730878232
Name:ANDER, ERIK RICHARD HENNING (MD, MA)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:RICHARD HENNING
Last Name:ANDER
Suffix:
Gender:M
Credentials:MD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANNING DRIVE CHAPEL HILL 4061 BURNETT-WOMACK BLDG
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-4653
Mailing Address - Fax:919-966-8440
Practice Address - Street 1:101 MANNING DRIVE CHAPEL HILL 4061 BURNETT-WOMACK BLDG
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-4653
Practice Address - Fax:919-966-8440
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCANDE-SDO4FL390200000X
NCRTL23-0132390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program