Anderson, Jack Booker
Anderson, Jack Booker is an sole proprietor health care provider with primary practice located at 879 W 190Th St Ste 400 , Gardena CA 90248-4223. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Anderson, Jack Booker can be contacted via phone (310) 887-6382.Contact Information
Primary practice address
879 W 190Th St Ste 400
Gardena CA 90248-4223
Phone: (310) 887-6382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | California |
Profile Details
| NPI number | 1215507983 |
|---|---|
| LBN Legal business name | Anderson, Jack Booker |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2021 |
| Last updated | Feb 7th, 2023 - about last year |
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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