Anders, Jason M

Anders, Jason M is an individual health care provider with primary practice located at 201 Brightwater Dr , Myrtle Beach SC 29579-8298. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Anders, Jason M can be contacted via phone (304) 236-4131.

Contact Information

Primary practice address
201 Brightwater Dr Myrtle Beach SC 29579-8298
Phone: (304) 236-4131
Fax: (304) 236-4131
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001945 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8839 South Carolina

Profile Details

NPI number 1023002268
LBN Legal business name Anders, Jason M
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Apr 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023002268 NPPES
West Virginia Other P00687438 RAILROAD MEDICARE
West Virginia Other 2369668 RAILROAD MEDICARE
West Virginia Other 000019092 RAILROAD MEDICARE
West Virginia Other 9761231 RAILROAD MEDICARE
West Virginia Other 261076 RAILROAD MEDICARE
West Virginia MEDICAID 7302438000 RAILROAD MEDICARE

Popular Providers