Anderson, Jenifer A

Anderson, Jenifer A is an individual health care provider with primary practice located at 598 Indian Trail Rd S Ste 141 , Indian Trail NC 28079-8689. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Anderson, Jenifer A can be contacted via phone (704) 975-7008.

Contact Information

Primary practice address
598 Indian Trail Rd S Ste 141 Indian Trail NC 28079-8689
Phone: (704) 975-7008
Fax: (704) 821-0750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5635 North Carolina

Profile Details

NPI number 1790754943
LBN Legal business name Anderson, Jenifer A
Credentials MS,OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 17th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790754943 NPPES
North Carolina Other 0103C BCBS
North Carolina MEDICAID 7301861 BCBS
North Carolina Other 64-42619 BCBS

Popular Providers