Anderson, Joy A

Anderson, Joy A is an sole proprietor health care provider with primary practice located at 1325 Atlantic Ave , Fernandina FL 32034-3247. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Anderson, Joy A can be contacted via phone (904) 261-3653.

Contact Information

Primary practice address
1325 Atlantic Ave Fernandina FL 32034-3247
Phone: (904) 261-3653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3335 Florida

Profile Details

NPI number 1396920658
LBN Legal business name Anderson, Joy A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2008
Last updated Sep 29th, 2010 - about 15 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 1396920658 NPPES
Florida Other 6371320001 MEDICARE PTAN

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