Anderson, Jonathan Walter

Anderson, Jonathan Walter is an individual health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4613. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Other Service Providers / Military Health Care Provider. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Anderson, Jonathan Walter can be contacted via phone (352) 682-0333.

Contact Information

Primary practice address
1650 Cochrane Cir Fort Carson CO 80913-4613
Phone: (352) 682-0333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113128 Florida
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1598248478
LBN Legal business name Anderson, Jonathan Walter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2018
Last updated Sep 12th, 2023 - about last year

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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