Anderson, Joellen
Anderson, Joellen is an sole proprietor health care provider with primary practice located at 4 Phyllis Dr Ste H, Patchogue NY 11772-2900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Anderson, Joellen can be contacted via phone (631) 447-7560.Contact Information
Primary practice address
4 Phyllis Dr Ste H
Patchogue NY 11772-2900
Phone: (631) 447-7560
Fax: (631) 774-7561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F400410 | New York |
Profile Details
| NPI number | 1295869055 |
|---|---|
| LBN Legal business name | Anderson, Joellen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1295869055 | NPPES |
| New York | Other | 164773 | VALUE OPTIONS GOV'T |
| New York | Other | 7482405 | VALUE OPTIONS GOV'T |
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