Mark James Anderson in Hortonville - Chiropractor
Mark James Anderson - NPI 1124128509
Mark James Anderson is a Chiropractor in Hortonville, Wisconsin. Mark James Anderson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark James Anderson is 1124128509. The last update date is 2010-08-17.
Mark James Anderson's current location address is Po Box 100, Hortonville, Wisconsin. You can contact this provider via phone number 9207794554 and fax number 9207790444. The mailing address for Mark James Anderson is Po Box 100, Hortonville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark James Anderson |
|---|---|
| Address | Po Box 100, Hortonville, Wisconsin |
| Phone Number | 9207794554 |
| Fax Number | 9207790444 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1124128509 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2010-08-17 |
Provider Mailing Address Detail
| Address | Po Box 100 |
|---|---|
| City | Hortonville |
| State | Wisconsin (WI) |
| Post Code | 54944 |
| Phone Number | 9207794554 |
| Fax Number | 9207790444 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3779 |
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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 |
|---|---|---|---|
| 38936900 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark James Anderson?
The Mark James Anderson has been issued the NPI (National Provider Identifier) 1124128509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mark James Anderson is physically located?
The Mark James Anderson is situated at the following address: Po Box 100, Hortonville, WI 54944.
What is Mark James Anderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark James Anderson's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Mark James Anderson receive the assignment of its 1124128509 from the Centers for Medicare & Medicaid Services?
The Mark James Anderson was issued its 1124128509 by the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the information regarding Mark James Anderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark James Anderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-08-17.