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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1982809901 NPPES
Indiana Other P01424278 RAIL ROAD
Indiana MEDICAID 200873060 RAIL ROAD

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