Anderson, Andrew Joseph

Anderson, Andrew Joseph is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Andrew Joseph can be contacted via phone (601) 984-5571.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19073 Mississippi

Profile Details

NPI number 1396814109
LBN Legal business name Anderson, Andrew Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Aug 28th, 2015 - about 9 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 1396814109 NPPES
Mississippi Other 512G700003 MS MEDICARE - GROUP
Mississippi MEDICAID 174885 MS MEDICARE - GROUP
Mississippi MEDICAID 09356273 MS MEDICARE - GROUP
Mississippi Other P00462155 MS MEDICARE - GROUP

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