Anderson, Jodi Lynn
Anderson, Jodi Lynn is an sole proprietor health care provider with primary practice located at 111 17Th Ave E , Alexandria MN 56308-5273. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Anderson, Jodi Lynn can be contacted via phone (320) 762-1144.Contact Information
Primary practice address
111 17Th Ave E
Alexandria MN 56308-5273
Phone: (320) 762-1144
Fax: (320) 762-1935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 25MT00143900 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1444 | Minnesota |
Profile Details
| NPI number | 1366418212 |
|---|---|
| LBN Legal business name | Anderson, Jodi Lynn |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | May 17th, 2016 - about 8 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 | 1366418212 | NPPES |
| Minnesota | Other | 1444 | ATHLETIC TRAINER |
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