Anderson, Jadean Jake
Anderson, Jadean Jake is an individual health care provider with primary practice located at 4132 30Th Ave South Suite #102, Fargo ND 58104-8407. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Jadean Jake can be contacted via phone (701) 241-7737.Contact Information
Primary practice address
4132 30Th Ave South Suite #102
Fargo ND 58104-8407
Phone: (701) 241-7737
Fax: (701) 241-7738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 390200000X | North Dakota |
Profile Details
| NPI number | 1871790832 |
|---|---|
| LBN Legal business name | Anderson, Jadean Jake |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | Oct 3rd, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871790832 | NPPES |
| North Dakota | Other | AND28655 | BLUE CROSS BLUE SHIELD ND |
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