Anderson, Jane M

Anderson, Jane M is an individual health care provider with primary practice located at 40 11Th St , Cloquet MN 55720-1817. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Anderson, Jane M can be contacted via phone (218) 879-4559.

Contact Information

Primary practice address
40 11Th St Cloquet MN 55720-1817
Phone: (218) 879-4559
Fax: (218) 879-0282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2925 Minnesota

Profile Details

NPI number 1073542981
LBN Legal business name Anderson, Jane M
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jun 29th, 2015 - about 10 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 1073542981 NPPES
Minnesota MEDICAID 264327800

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