Anderson, Jay Patrick

Anderson, Jay Patrick is an individual health care provider with primary practice located at 1151 N State St , Elgin IL 60123-1404. 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, Jay Patrick can be contacted via phone (847) 628-1592.

Contact Information

Primary practice address
1151 N State St Elgin IL 60123-1404
Phone: (847) 628-1592
Fax: (847) 628-1591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 96000601 Illinois

Profile Details

NPI number 1306828645
LBN Legal business name Anderson, Jay Patrick
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
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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