Anderson, J Craig

Anderson, J Craig is an sole proprietor health care provider with primary practice located at 500 Ne Spanish River Blvd 28-B, Boca Raton FL 33431-4515. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Anderson, J Craig can be contacted via phone (561) 241-9210.

Contact Information

Primary practice address
500 Ne Spanish River Blvd 28-B Boca Raton FL 33431-4515
Phone: (561) 241-9210
Fax: (561) 241-9210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0250 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0142 Florida

Profile Details

NPI number 1609849025
LBN Legal business name Anderson, J Craig
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Jan 7th, 2014 - about 12 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 1609849025 NPPES
Florida MEDICAID 588925

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