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Contact Information

TRAVIS J ANDERSEN, D.C.
1624 CLARENCE CT
WEST BEND, WI53095-8533
 Phone: 262-334-4847
 Fax: 262-334-5554
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for TRAVIS J ANDERSEN · (Male)

NPI # 1801802947
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 07/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 3952012
  • WI Medicaid 38946400
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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