Anderson, J Craig
Anderson, J Craig is an sole proprietor health care provider with primary practice located at 500 Ne Spanish River Blvd 28-B, Boca Raton FL 33431-4515. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Anderson, J Craig can be contacted via phone (561) 241-9210.Contact Information
Primary practice address
500 Ne Spanish River Blvd 28-B
Boca Raton FL 33431-4515
Phone: (561) 241-9210
Fax: (561) 241-9210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 0250 | Florida |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0142 | Florida |
Profile Details
| NPI number | 1609849025 |
|---|---|
| LBN Legal business name | Anderson, J Craig |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jan 7th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609849025 | NPPES |
| Florida | MEDICAID | 588925 |
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