Anderson, Abby L

Anderson, Abby L is an individual health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Abby L can be contacted via phone (517) 205-4800.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 205-4800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003712 Michigan

Profile Details

NPI number 1093795783
LBN Legal business name Anderson, Abby L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 22nd, 2021 - about 5 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 1093795783 NPPES
Indiana MEDICAID 300027285

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