Anderson, Jonathan
Anderson, Jonathan is an individual health care provider with primary practice located at 109 E Maple St , Gillespie IL 62033-1473. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Anderson, Jonathan can be contacted via phone (217) 839-4110.Contact Information
Primary practice address
109 E Maple St
Gillespie IL 62033-1473
Phone: (217) 839-4110
Fax: (217) 839-1538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 020015714 | Illinois |
Profile Details
| NPI number | 1407584014 |
|---|---|
| LBN Legal business name | Anderson, Jonathan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2022 |
| Last updated | Aug 11th, 2022 - about 3 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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