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Contact Information

JASON ANDERSEN, LAC
1015 S BROADWAY STE 18
MINOT, ND58701-4667
 Phone: 701-857-8500
 Fax: 701-857-8555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JASON ANDERSEN · (Male)

NPI Number 1841229648
Status Active
Credentials LAC
Entity Individual
Enumeration date 07/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 1474
  • ND Medicaid 054517
  • ND Other 020518 BCBS ND PIN
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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