Anderson, Jennifer Caron

Anderson, Jennifer Caron is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Anderson, Jennifer Caron can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax: (765) 449-5015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37002238A Indiana

Profile Details

NPI number 1326318163
LBN Legal business name Anderson, Jennifer Caron
Credentials RD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Mar 27th, 2014 - about 12 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 1326318163 NPPES
Indiana Other 000000791825 ANTHEM PROVIDER NUMBER

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