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Contact Information

JEREMY ANDERSON, DPM
1416 S JONES BLVD
LAS VEGAS, NV89146-1231
 Phone: 702-878-1400
 Fax: 888-263-5542
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEREMY ANDERSON · (Male)

NPI Number 1144714296
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/20/2018
Last updated 08/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 2077
  • UT License # 11354714-0501
Hospital affiliation(s)
  • JORDAN VALLEY MEDICAL CENTER - (Acute Care)
    3580 WEST 9000 SOUTH
    WEST JORDAN, UT 84088
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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