Anderson, Jonathan

Anderson, Jonathan is an sole proprietor health care provider with primary practice located at 5900 E Central Ave Suite 101, Wichita KS 67208-4240. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Anderson, Jonathan can be contacted via phone (316) 425-7774.

Contact Information

Primary practice address
5900 E Central Ave Suite 101 Wichita KS 67208-4240
Phone: (316) 425-7774
Fax: (316) 425-7779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1049 Kansas

Profile Details

NPI number 1699042697
LBN Legal business name Anderson, Jonathan
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2011
Last updated Dec 5th, 2012 - about 14 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 1699042697 NPPES
Kansas MEDICAID 200750620A

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