Sanderson, James Glen

Sanderson, James Glen is an sole proprietor health care provider with primary practice located at 3 Webster Ave , Jersey City NJ 07307-1824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sanderson, James Glen can be contacted via phone (201) 216-1505.

Contact Information

Primary practice address
3 Webster Ave Jersey City NJ 07307-1824
Phone: (201) 216-1505
Fax: (201) 216-8803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB07524000 New Jersey

Profile Details

NPI number 1154328193
LBN Legal business name Sanderson, James Glen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2005
Last updated Jan 4th, 2012 - about 13 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 1154328193 NPPES
New Jersey MEDICAID 0039217

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