Anderson, Jamie

Anderson, Jamie is an individual health care provider with primary practice located at 3401 45Th St S Ste A , Fargo ND 58104-8970. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Anderson, Jamie can be contacted via phone (013) 564-3847.

Contact Information

Primary practice address
3401 45Th St S Ste A Fargo ND 58104-8970
Phone: (013) 564-3847
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 706-12-15-11A North Dakota

Profile Details

NPI number 1073883773
LBN Legal business name Anderson, Jamie
Credentials LAPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Apr 19th, 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 1073883773 NPPES
North Dakota MEDICAID 1462276

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