Anderson, Jonathan S

Anderson, Jonathan S is an individual health care provider with primary practice located at 2402 Winnebago St , Madison WI 53704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Anderson, Jonathan S can be contacted via phone (608) 242-6850.

Contact Information

Primary practice address
2402 Winnebago St Madison WI 53704
Phone: (608) 242-6850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 55300 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 55300-020 Wisconsin

Profile Details

NPI number 1568696342
LBN Legal business name Anderson, Jonathan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2009
Last updated Mar 9th, 2021 - about 4 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 1568696342 NPPES
Wisconsin MEDICAID 1568696342

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