Anderson, Jeffrey Allan

Anderson, Jeffrey Allan is an individual health care provider with primary practice located at 725 Tennessee Ave , Etowah TN 37331. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Anderson, Jeffrey Allan can be contacted via phone (423) 263-7824.

Contact Information

Primary practice address
725 Tennessee Ave Etowah TN 37331
Phone: (423) 263-7824
Fax: (423) 263-5714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6691 Tennessee

Profile Details

NPI number 1326066788
LBN Legal business name Anderson, Jeffrey Allan
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Oct 22nd, 2012 - about 14 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 1326066788 NPPES
Tennessee MEDICAID 1454338

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