Anderson, Jaclyn Marie

Anderson, Jaclyn Marie is an individual health care provider with primary practice located at 124 W Fourth St , Suttons Bay MI 49682-9733. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Anderson, Jaclyn Marie can be contacted via phone (231) 271-1200.

Contact Information

Primary practice address
124 W Fourth St Suttons Bay MI 49682-9733
Phone: (231) 271-1200
Fax: (231) 271-1214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5201005612 Michigan

Profile Details

NPI number 1295920726
LBN Legal business name Anderson, Jaclyn Marie
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Oct 28th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295920726 NPPES
Michigan Other 43-2035142 TAX ID

Popular Providers