Anderson, Jack Raymond

Anderson, Jack Raymond is an sole proprietor health care provider with primary practice located at 1730 W 25Th St , Cleveland OH 44113-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Anderson, Jack Raymond can be contacted via phone (216) 903-7287.

Contact Information

Primary practice address
1730 W 25Th St Cleveland OH 44113-3108
Phone: (216) 903-7287
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 50.005645RX Ohio

Profile Details

NPI number 1881166775
LBN Legal business name Anderson, Jack Raymond
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2018
Last updated Dec 18th, 2018 - 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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