Anderson, Jeffrey C

Anderson, Jeffrey C is an sole proprietor health care provider with primary practice located at 1069 Summers Dr Ste B , Rexburg ID 83440-5335. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Anderson, Jeffrey C can be contacted via phone (208) 607-9816.

Contact Information

Primary practice address
1069 Summers Dr Ste B Rexburg ID 83440-5335
Phone: (208) 607-9816
Fax: (208) 549-7883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-1314A Idaho

Profile Details

NPI number 1497197891
LBN Legal business name Anderson, Jeffrey C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2013
Last updated Jul 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497197891 NPPES
Idaho Other NP-1314A STATE LICENSE

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