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Contact Information

JARED R ANDERSON, PA-C
10561 JEFFREYS ST STE 230
HENDERSON, NV89052-4268
 Phone: 702-819-8536
 Fax: 702-948-1088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JARED R ANDERSON · (Male)

NPI # 1689267890
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/18/2021
Last updated 10/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # PA2709
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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