Anderson, Jada Jean

Anderson, Jada Jean is an individual health care provider with primary practice located at 35 Monument Rd Suite 201, York PA 17403-5074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Anderson, Jada Jean can be contacted via phone (717) 812-4083.

Contact Information

Primary practice address
35 Monument Rd Suite 201 York PA 17403-5074
Phone: (717) 812-4083
Fax: (717) 812-2244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2009-01376 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD451293 Pennsylvania

Profile Details

NPI number 1184854325
LBN Legal business name Anderson, Jada Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2009
Last updated Jun 9th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184854325 NPPES
Pennsylvania MEDICAID 102906730
Pennsylvania MEDICAID 074224400

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