Anderson, Paul Jackson

Anderson, Paul Jackson is an individual health care provider with primary practice located at 2451 Fillingim St Mastin Bldg. 617, Mobile AL 36617-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Anderson, Paul Jackson can be contacted via phone (251) 470-5842.

Contact Information

Primary practice address
2451 Fillingim St Mastin Bldg. 617 Mobile AL 36617-2238
Phone: (251) 470-5842
Fax: (251) 470-5809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5393 Alabama

Profile Details

NPI number 1578512901
LBN Legal business name Anderson, Paul Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1578512901 NPPES
Alabama Other 16-01418 UNITED HEALTHCARE
Alabama Other 51530385 UNITED HEALTHCARE
Alabama MEDICAID 06029094 UNITED HEALTHCARE

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