Anderson, Jacob
Anderson, Jacob is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-3440. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Anderson, Jacob can be contacted via phone (608) 263-9729.Contact Information
Primary practice address
600 Highland Ave
Madison WI 53792-3440
Phone: (608) 263-9729
Fax: (608) 263-0682
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 75340-20 | Wisconsin |
Profile Details
NPI number | 1659830669 |
---|---|
LBN Legal business name | Anderson, Jacob |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 19th, 2019 |
Last updated | Jun 4th, 2024 - 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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