Anderson, Ian Jacob

Anderson, Ian Jacob is an individual health care provider with primary practice located at 22101 Moross Rd # Ccb-Sb , Detroit MI 48236-2148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Anderson, Ian Jacob can be contacted via phone (313) 343-3520.

Contact Information

Primary practice address
22101 Moross Rd # Ccb-Sb Detroit MI 48236-2148
Phone: (313) 343-3520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301101517 Michigan

Profile Details

NPI number 1669884433
LBN Legal business name Anderson, Ian Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2014
Last updated May 26th, 2017 - about 7 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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