Anderson, Jesse

Anderson, Jesse is an individual health care provider with primary practice located at 1001 N Country Club Rd , Ada OK 74820-2847. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Anderson, Jesse can be contacted via phone (580) 421-4570.

Contact Information

Primary practice address
1001 N Country Club Rd Ada OK 74820-2847
Phone: (580) 421-4570
Fax: (580) 421-6283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 7289 Oklahoma

Profile Details

NPI number 1497835474
LBN Legal business name Anderson, Jesse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 20th, 2007 - about 19 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 1497835474 NPPES
Oklahoma Other 7289 OK LICENSE

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