Anderson, Jim Douglas

Anderson, Jim Douglas is an sole proprietor health care provider with primary practice located at 23 Granite Ct , San Carlos CA 94070-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Anderson, Jim Douglas can be contacted via phone (415) 298-6656.

Contact Information

Primary practice address
23 Granite Ct San Carlos CA 94070-4306
Phone: (415) 298-6656
Fax: (650) 366-9401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G29493 California

Profile Details

NPI number 1073974473
LBN Legal business name Anderson, Jim Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2016
Last updated Mar 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073974473 NPPES
Other G29493 CA MEDICAL LICENCE

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