Anderson, Jill Shareen

Anderson, Jill Shareen is an individual health care provider with primary practice located at University Of Minnesota Physicians 516 Delaware Street Se, Pwb Ninth Floor, Clinic 9A, Minneapolis MN 55455. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Anderson, Jill Shareen can be contacted via phone (612) 625-4400.

Contact Information

Primary practice address
University Of Minnesota Physicians 516 Delaware Street Se, Pwb Ninth Floor, Clinic 9A Minneapolis MN 55455
Phone: (612) 625-4400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 46327 Minnesota

Profile Details

NPI number 1275577454
LBN Legal business name Anderson, Jill Shareen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 31st, 2012 - about 12 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 1275577454 NPPES
Minnesota Other 612T3AN BCBS
Minnesota MEDICAID 0099654 BCBS
Minnesota Other 08-00043 BCBS
Minnesota Other 2366355 BCBS
Minnesota Other HP52462 BCBS
Minnesota MEDICAID 053471400 BCBS
Minnesota Other 1043946 BCBS
Minnesota Other 132844 BCBS
Minnesota Other 08-01243 BCBS
Minnesota MEDICAID 34816500 BCBS

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