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Contact Information

ANDERSON CHIROPRACTIC OFFICE LLC
885 WESTERN AVE
SUITE #450
FOND DU LAC, WI54935-3874
 Phone: 920-926-1722
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ANDERSON CHIROPRACTIC OFFICE LLC

NPI # 1144395856
LBN Legal business name ANDERSON CHIROPRACTIC OFFICE LLC
Authorized official TIMOTHY ANDERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 1718-12
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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