Andesron, Jacob

Andesron, Jacob is an sole proprietor health care provider with primary practice located at 351 Old Highway 177 1/2 , Hudson WY 82515-5094. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Andesron, Jacob can be contacted via phone (307) 330-8331.

Contact Information

Primary practice address
351 Old Highway 177 1/2 Hudson WY 82515-5094
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1528668407
LBN Legal business name Andesron, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2020
Last updated Oct 29th, 2020 - 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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