Anderson, Jerry M

Anderson, Jerry M is an individual health care provider with primary practice located at 1201 Terry Ave Fl 8 , Seattle WA 98101-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Anderson, Jerry M can be contacted via phone (206) 287-6300.

Contact Information

Primary practice address
1201 Terry Ave Fl 8 Seattle WA 98101-2735
Fax: (206) 341-1250
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L5224 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD60481560 Washington

Profile Details

NPI number 1356351688
LBN Legal business name Anderson, Jerry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Mar 16th, 2021 - about 3 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 1356351688 NPPES
Washington MEDICAID 2044576
Washington MEDICAID 161225101
Washington Other 8F8791
Washington Other 133275100

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