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Contact Information

JONATHAN W ANDERSON II
1650 COCHRANE CIR
FORT CARSON, CO80913-4613
 Phone: 352-682-0333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for JONATHAN W ANDERSON II · (Male)

NPI # 1598248478
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2018
Last updated 09/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9113128
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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