Jack David Anderson
Marriage & Family Therapist
About Jack David Anderson
Jack David Anderson is a male healthcare professional specializing in Marriage & Family Therapist, registered under National Provider Identifier (NPI) number 1023712882. Jack David Anderson received his medical education at OTHER, graduating in 2023.
Their primary practice is located at 10900 89TH AVE N STE 3, Maple Grove, Minnesota 55369. Patients can reach the office at (651) 560-0050. Jack David Anderson is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.
Jack David Anderson has been NPI-registered since 2023.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1023712882
- Entity Type
- Individual
- First Name
- Jack
- Last Name
- Anderson
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2023
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 10900 89TH AVE N STE 3
- City
- Maple Grove
- State
- Minnesota
- ZIP
- 55369-4025
- Country
- United States
- Phone
- (651) 560-0050
Specialty & Taxonomy
- Primary Specialty
- Marriage & Family Therapist
- Classification
- Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 13060 N 3RD AVE APT 1B
- City
- LINDSTROM
- State
- MN
- ZIP
- 550457322
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Jack David Anderson's NPI number?
What does Jack David Anderson specialize in?
Where is Jack David Anderson located?
Does Jack David Anderson accept Medicare?
Does Jack David Anderson offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack David Anderson is 1023712882.