Anderson, Jonathon Henning

Anderson, Jonathon Henning is an individual health care provider with primary practice located at 555 S Old Woodward Ave Ste 777 , Birmingham MI 48009-6618. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Anderson, Jonathon Henning can be contacted via phone (248) 647-4700.

Contact Information

Primary practice address
555 S Old Woodward Ave Ste 777 Birmingham MI 48009-6618
Phone: (248) 647-4700
Fax: (248) 647-4730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901012981 Michigan

Profile Details

NPI number 1811979719
LBN Legal business name Anderson, Jonathon Henning
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Oct 15th, 2018 - about 6 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 1811979719 NPPES
Michigan MEDICAID 2990516
Michigan MEDICAID 4067429
Michigan Other 970F31085
Michigan Other JA012981

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