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Contact Information

J R ANDERSSEN, R.T.
14824 CLAYTON RD
SUITE 21
CHESTERFIELD, MO63017-7888
 Phone: 636-227-6878
 Fax: 636-227-7822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for J R ANDERSSEN · (Male)

NPI # 1619961679
Status Active
Credentials R.T.
Entity Individual
Enumeration date 09/07/2005
Last updated 09/27/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # NOT REQUIRED IN MO
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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