Andersen, Jason

Andersen, Jason is an individual health care provider with primary practice located at 1015 S Broadway Ste 18 , Minot ND 58701-4667. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Andersen, Jason can be contacted via phone (701) 857-8500.

Contact Information

Primary practice address
1015 S Broadway Ste 18 Minot ND 58701-4667
Phone: (701) 857-8500
Fax: (701) 857-8555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1474 North Dakota

Profile Details

NPI number 1841229648
LBN Legal business name Andersen, Jason
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841229648 NPPES
North Dakota MEDICAID 054517
North Dakota Other 020518

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