Anderson, John James

Anderson, John James is an individual health care provider with primary practice located at 500 Gypsy Ln , Youngstown OH 44504-1315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, John James can be contacted via phone (330) 884-3957.

Contact Information

Primary practice address
500 Gypsy Ln Youngstown OH 44504-1315
Phone: (330) 884-3957
Fax: (330) 884-5684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32-02-1295 Ohio

Profile Details

NPI number 1194794727
LBN Legal business name Anderson, John James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1194794727 NPPES
Ohio MEDICAID 0680884
Ohio Other 35-02-1295

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