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Contact Information

JOHN J ANDERSON, D.C.
215 N BLACK RIVER ST
SPARTA, WI54656-1529
 Phone: 608-269-4511
 Fax: 608-269-8511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOHN J ANDERSON · (Male)

NPI # 1740234509
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 05/19/2006
Last updated 05/19/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3614-012
  • WI Medicaid 38923500
  • WI Other 38993500 MEDICAID CLINIC NUMBER
  • WI Other 350052230 RAILROAD MEDICARE
  • WI Other CB3715 RAILROAD MEDICARE GROUP
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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