Anderson, Jason A
Anderson, Jason A is an sole proprietor health care provider with primary practice located at 302 Valley Green Sq , Le Sueur MN 56058-1943. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Anderson, Jason A can be contacted via phone (507) 665-3394.Contact Information
Primary practice address
302 Valley Green Sq
Le Sueur MN 56058-1943
Phone: (507) 665-3394
Fax: (507) 665-4286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 11588 | Minnesota |
Profile Details
| NPI number | 1891716445 |
|---|---|
| LBN Legal business name | Anderson, Jason A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891716445 | NPPES |
| Minnesota | MEDICAID | 9178768 |
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