Anderson, Jack Booker

Anderson, Jack Booker is an sole proprietor health care provider with primary practice located at 879 W 190Th St Ste 400 , Gardena CA 90248-4223. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Anderson, Jack Booker can be contacted via phone (310) 887-6382.

Contact Information

Primary practice address
879 W 190Th St Ste 400 Gardena CA 90248-4223
Phone: (310) 887-6382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X California

Profile Details

NPI number 1215507983
LBN Legal business name Anderson, Jack Booker
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2021
Last updated Feb 7th, 2023 - about 3 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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