Anderson, Jackie Mae

Anderson, Jackie Mae is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-4200. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Anderson, Jackie Mae can be contacted via phone (585) 275-9555.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-4200
Phone: (585) 275-9555
Fax: (585) 473-3516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X OT018082 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 312232 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 312232 New York

Profile Details

NPI number 1447789565
LBN Legal business name Anderson, Jackie Mae
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Jul 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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