Anderson, Jack

Anderson, Jack is an sole proprietor health care provider with primary practice located at 14810 La Mesa Rd , Victorville CA 92392-8639. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Anderson, Jack can be contacted via phone (760) 951-0510.

Contact Information

Primary practice address
14810 La Mesa Rd Victorville CA 92392-8639
Phone: (760) 951-0510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1982254603
LBN Legal business name Anderson, Jack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2019
Last updated Sep 25th, 2019 - about 7 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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