Anderson, Jaclyn M
Anderson, Jaclyn M is an individual health care provider with primary practice located at 7300 Turfway Rd , Florence KY 41042-1375. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anderson, Jaclyn M can be contacted via phone (859) 212-5025.Contact Information
Primary practice address
7300 Turfway Rd
Florence KY 41042-1375
Phone: (859) 212-5025
Fax: (859) 212-4432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41045 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.089541 | Ohio |
Profile Details
| NPI number | 1801000385 |
|---|---|
| LBN Legal business name | Anderson, Jaclyn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | May 14th, 2024 - about 6 months 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 | 1801000385 | NPPES |
| Kentucky | Other | 41045 | KY LICENSE |
| Kentucky | MEDICAID | 0056986 | KY LICENSE |
| Kentucky | Other | 35.089541 | KY LICENSE |
| Kentucky | MEDICAID | 200994640 | KY LICENSE |
| Kentucky | MEDICAID | 7100016160 | KY LICENSE |
Popular Providers
-
Goderwis, Douglas
7300 Turfway Rd , Florence KY 41042-1375 -
Nasser, Wafa Jamil
10032 Demia Way , Florence KY 41042-4734 -
Burchell-Young, Kelley
45 Cavalier Blvd , Florence KY 41042-1684 -
Crawford, Camille R
10032 Demia Way , Florence KY 41042 -
Defoor, Catherine A
7300 Turfway Road , Florence KY 41042-4895 -
Bishop, Alexius M.
45 Cavalier Blvd , Florence KY 41042-1684 -
Harmeling, Sheila C
59 Cavalier Blvd Suite 330, Florence KY 41042-3901 -
Fiedler, Michael A
59 Cavalier Blvd Suite 330, Florence KY 41042-3901