Anderson, Jeff Bruce
Anderson, Jeff Bruce is an individual health care provider with primary practice located at 1360 Town Centre Dr , Eagan MN 55123. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Jeff Bruce can be contacted via phone (651) 686-7435.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2956 | Minnesota |
Profile Details
| NPI number | 1598864514 |
|---|---|
| LBN Legal business name | Anderson, Jeff Bruce |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598864514 | NPPES |
| Minnesota | Other | 2202818 | MEDICA |
| Minnesota | Other | 2203374 | MEDICA |
| Minnesota | Other | 2202941 | MEDICA |
| Minnesota | Other | 979851041639 | MEDICA |
| Minnesota | Other | 328M9AN | MEDICA |
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