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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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