Anderson, Jill Susan
Anderson, Jill Susan is an individual health care provider with primary practice located at 5101 N Davis Hwy Ste A, Pensacola FL 32503-2040. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Anderson, Jill Susan can be contacted via phone (850) 479-7379.Contact Information
Primary practice address
5101 N Davis Hwy Ste A
Pensacola FL 32503-2040
Phone: (850) 479-7379
Fax: (850) 497-6219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2969 | Florida |
Profile Details
| NPI number | 1619918935 |
|---|---|
| LBN Legal business name | Anderson, Jill Susan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Aug 3rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619918935 | NPPES |
| Florida | Other | 20775 | FLORIDA BLUE |
| Florida | Other | 20775U | FLORIDA BLUE |
| Florida | Other | P00412350 | FLORIDA BLUE |
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