Anderson, Jessica

Anderson, Jessica is an individual health care provider with primary practice located at 620 14Th Ave Ne , Devils Lake ND 58301-2808. 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, Jessica can be contacted via phone (763) 689-5385.

Contact Information

Primary practice address
620 14Th Ave Ne Devils Lake ND 58301-2808
Phone: (763) 689-5385
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 918 North Dakota

Profile Details

NPI number 1477635779
LBN Legal business name Anderson, Jessica
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Apr 4th, 2023 - about 2 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 1477635779 NPPES
North Dakota Other 24546 BCBS
North Dakota MEDICAID 54829 BCBS

Popular Providers