Anderson, Jared
Anderson, Jared is an individual health care provider with primary practice located at 1515 N Madison Ave , Anderson IN 46011-3453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Anderson, Jared can be contacted via phone (765) 932-2928.Contact Information
Primary practice address
1515 N Madison Ave
Anderson IN 46011-3453
Phone: (765) 932-2928
Fax: (317) 355-8734
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 02003194 | Indiana |
Profile Details
NPI number | 1982809901 |
---|---|
LBN Legal business name | Anderson, Jared |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2007 |
Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982809901 | NPPES |
Indiana | Other | P01424278 | RAIL ROAD |
Indiana | MEDICAID | 200873060 | RAIL ROAD |
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