Andersen, Jeffrey B

Andersen, Jeffrey B is an individual health care provider with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andersen, Jeffrey B can be contacted via phone (701) 234-2000.

Contact Information

Primary practice address
2400 32Nd Ave S Fargo ND 58103-5800
Phone: (701) 234-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52145 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10297 North Dakota

Profile Details

NPI number 1184701856
LBN Legal business name Andersen, Jeffrey B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 23rd, 2020 - about 5 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 1184701856 NPPES
North Dakota MEDICAID 16455
North Dakota MEDICAID 14023

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