Anderson, Jason

Anderson, Jason is an individual health care provider with primary practice located at 1111 Delafield St Ste 120 , Waukesha WI 53188-3402. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Anderson, Jason can be contacted via phone (262) 521-9762.

Contact Information

Primary practice address
1111 Delafield St Ste 120 Waukesha WI 53188-3402
Phone: (262) 521-9762
Fax: (262) 521-1091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 633-039 Wisconsin

Profile Details

NPI number 1881729671
LBN Legal business name Anderson, Jason
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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