Jeffery A. Anderson in Clear Lake - Chiropractor
Jeffery A. Anderson - NPI 1710958707
Jeffery A. Anderson is a Chiropractor in Clear Lake, Iowa. Jeffery A. Anderson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffery A. Anderson is 1710958707. The last update date is 2007-10-16.
Jeffery A. Anderson's current location address is 614 Buddy Holly Place, Clear Lake, Iowa. You can contact this provider via phone number 6413578659 and fax number 6413570799. The mailing address for Jeffery A. Anderson is 614 Buddy Holly Place, Clear Lake, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery A. Anderson |
|---|---|
| Address | 614 Buddy Holly Place, Clear Lake, Iowa |
| Phone Number | 6413578659 |
| Fax Number | 6413570799 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1710958707 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 614 Buddy Holly Place |
|---|---|
| City | Clear Lake |
| State | Iowa (IA) |
| Post Code | 504281364 |
| Phone Number | 6413578659 |
| Fax Number | 6413570799 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | A5539 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 99051 | IA | -- | |
| 4999 | BLUE CROSS BLUE SHIELD | ||
| 21297 | MIDLAND CHOICE |
Post Comment/ Review Below
What is the unique identification code assigned to Jeffery A. Anderson by the Centers for Medicare & Medicaid Services?
The Jeffery A. Anderson has been issued the NPI (National Provider Identifier) 1710958707. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeffery A. Anderson is geographically located?
The Jeffery A. Anderson is physically situated at the following location: 614 Buddy Holly Place, Clear Lake, IA, 504281364.
What is Jeffery A. Anderson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffery A. Anderson's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Jeffery A. Anderson receive the assignment of its 1710958707 from the Centers for Medicare & Medicaid Services?
The Jeffery A. Anderson was issued its 1710958707 by the Centers for Medicare & Medicaid Services on 2006-01-30.
As of what date were the details related to Jeffery A. Anderson most recently updated or revised?
The information pertaining to Jeffery A. Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-16.