Anderson, Jesse

Anderson, Jesse is an individual health care provider with primary practice located at 234 Goodwin Crest Dr , Homewood AL 35209-3701. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Anderson, Jesse can be contacted via phone (205) 290-4567.

Contact Information

Primary practice address
234 Goodwin Crest Dr Homewood AL 35209-3701
Phone: (205) 290-4567
Fax: (205) 943-4987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86254087
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 3352 Alabama

Profile Details

NPI number 1205534021
LBN Legal business name Anderson, Jesse
Credentials RDN, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2023
Last updated Feb 21st, 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 1205534021 NPPES
Other 86254087 COMMISSION ON DIETETIC REGISTRATION
Other 3352 COMMISSION ON DIETETIC REGISTRATION

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