SearchOhio208600000X

Jack Anderson

NPI 1881166775 · on the registry since 2018 · sole proprietor

Practice

Address
1730 W 25th St
Cleveland, OH 44113
Phone
(216) 903-7287
Organisation at this address
Assure Md Llc
Mansoor Ahmed
Lutheran Hospital
Lutheran Hospital
Lutheran Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
196

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio