Anderson, Jade Garrett

Anderson, Jade Garrett is an individual health care provider with primary practice located at 480 Osborne Rd Ne Suite 220, Fridley MN 55432-2773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Anderson, Jade Garrett can be contacted via phone (763) 786-1620.

Contact Information

Primary practice address
480 Osborne Rd Ne Suite 220 Fridley MN 55432-2773
Phone: (763) 786-1620
Fax: (763) 780-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 42135 Minnesota

Profile Details

NPI number 1720098064
LBN Legal business name Anderson, Jade Garrett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 21st, 2018 - about 6 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 1720098064 NPPES
Minnesota Other HP32508 HEALTH PARTNERS
Minnesota MEDICAID 946423900 HEALTH PARTNERS
Minnesota Other 963001032272 HEALTH PARTNERS
Minnesota Other 3600554 HEALTH PARTNERS
Minnesota Other 3600554 HEALTH PARTNERS
Minnesota Other 500T4AN HEALTH PARTNERS
Minnesota Other 143482 HEALTH PARTNERS

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