Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ANDESRON
Active Sole ProprietorJACOB ANDESRON is a Case Management Agency healthcare provider located in HUDSON, Wyoming. NPI 1528668407 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · HUDSON, WY
Registration Details
- NPI Number
- 1528668407
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2020 (5.7468399426235 yrs)
- Last Updated
- Oct 29, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
351 OLD HIGHWAY 177 1/2HUDSON, WY, 825155094Browse WY providers · Browse ZIP 82515
- Phone
- 3073308331
- Primary Specialty
-
Case Management Agency
251B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.