Anderson, Jeffrey Walter

Anderson, Jeffrey Walter is an individual health care provider with primary practice located at 100 E Carroll St #400, Salisbury MD 21801-5422. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is his primary health care specialty. Anderson, Jeffrey Walter can be contacted via phone (410) 543-7530.

Contact Information

Primary practice address
100 E Carroll St #400 Salisbury MD 21801-5422
Phone: (410) 543-7530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X H45955 Maryland
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X H45955 Maryland

Profile Details

NPI number 1255334454
LBN Legal business name Anderson, Jeffrey Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255334454 NPPES
Maryland MEDICAID 125511800

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