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Contact Information

JENNIFER S ANDERSON, MD
300 E JEFFERSON ST STE 101
BOISE, ID83712-6221
 Phone: 208-322-1680
 Fax: 208-322-1695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER S ANDERSON · (Female)

NPI Number 1093825903
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 03/11/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-12001
  • NC License # 2009-02126
  • OR License # MD161181
  • WA License # MD60022458
  • WA License # ML20008610
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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