Anderson, Jetta

Anderson, Jetta is an individual health care provider with primary practice located at 2018 E Avenida Del Sol , Phoenix AZ 85024-8601. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Anderson, Jetta can be contacted via phone (602) 717-3731.

Contact Information

Primary practice address
2018 E Avenida Del Sol Phoenix AZ 85024-8601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 16060006 Arizona

Profile Details

NPI number 1689026015
LBN Legal business name Anderson, Jetta
Credentials CPM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Jul 11th, 2016 - about 9 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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