Anderson, Jacob

Anderson, Jacob is an sole proprietor health care provider with primary practice located at 142 W Main St , Durant OK 74701-5008. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Anderson, Jacob can be contacted via phone (580) 920-2069.

Contact Information

Primary practice address
142 W Main St Durant OK 74701-5008
Fax: (580) 920-1010
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1104351709
LBN Legal business name Anderson, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2017
Last updated Apr 21st, 2017 - 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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