Anderson, Jonathan Hal
Anderson, Jonathan Hal is an individual health care provider with primary practice located at 770 Medical Park Dr , Aiken SC 29801-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Anderson, Jonathan Hal can be contacted via phone (803) 649-3903.Contact Information
Primary practice address
770 Medical Park Dr
Aiken SC 29801-6307
Phone: (803) 649-3903
Fax: (803) 642-6161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 19933 | South Carolina |
Profile Details
| NPI number | 1346226958 |
|---|---|
| LBN Legal business name | Anderson, Jonathan Hal |
| Credentials | M.D., F.A.C.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Mar 7th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346226958 | NPPES |
| South Carolina | MEDICAID | 199332 |
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