Anderson, Jacob Matthew

Anderson, Jacob Matthew is an individual health care provider with primary practice located at 767 30Th Street , Rock Island IL 61201. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Anderson, Jacob Matthew can be contacted via phone (309) 788-7631.

Contact Information

Primary practice address
767 30Th Street Rock Island IL 61201
Phone: (309) 788-7631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070018144 Illinois

Profile Details

NPI number 1184045031
LBN Legal business name Anderson, Jacob Matthew
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2013
Last updated Jun 24th, 2014 - about 11 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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