Anderson, Jay A.

Anderson, Jay A. is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27599-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Anderson, Jay A. can be contacted via phone (919) 966-8596.

Contact Information

Primary practice address
101 Manning Dr Chapel Hill NC 27599-0001
Phone: (919) 966-8596
Fax: (919) 843-5515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14786 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29695 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 14786 South Carolina

Profile Details

NPI number 1427017730
LBN Legal business name Anderson, Jay A.
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 9th, 2012 - about 13 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 1427017730 NPPES
North Carolina MEDICAID 6911153
North Carolina MEDICAID TL5625

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