Andersen, Jon E

Andersen, Jon E is an individual health care provider with primary practice located at 400 Maple Summit Rd , Jerseyville IL 62052-2028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andersen, Jon E can be contacted via phone (618) 498-8362.

Contact Information

Primary practice address
400 Maple Summit Rd Jerseyville IL 62052-2028
Phone: (618) 498-8362
Fax: (618) 498-8391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036102731 Illinois

Profile Details

NPI number 1841304888
LBN Legal business name Andersen, Jon E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jan 2nd, 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 1841304888 NPPES
Illinois Other 431532 HEALTHLINK
Illinois Other 784310 HEALTHLINK
Illinois MEDICAID 036102731 HEALTHLINK
Illinois Other 067210 HEALTHLINK

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