Gregory D Anderson in Lake Mills - Chiropractor
Gregory D Anderson - NPI 1699777680
Gregory D Anderson is a Chiropractor in Lake Mills, Wisconsin. Gregory D Anderson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gregory D Anderson is 1699777680. The last update date is 2007-07-08.
Gregory D Anderson's current location address is 120 E Oak St, Lake Mills, Wisconsin. You can contact this provider via phone number 9206482711. The mailing address for Gregory D Anderson is 120 E Oak St, Lake Mills, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory D Anderson |
|---|---|
| Address | 120 E Oak St, Lake Mills, Wisconsin |
| Phone Number | 9206482711 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1699777680 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 E Oak St |
|---|---|
| City | Lake Mills |
| State | Wisconsin (WI) |
| Post Code | 535511243 |
| Phone Number | 9206482711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1410 |
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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 |
|---|---|---|---|
| 38752200 | WI | -- |
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What is the unique identification code assigned to Gregory D Anderson by the Centers for Medicare & Medicaid Services?
The Gregory D Anderson has been issued the NPI (National Provider Identifier) 1699777680. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gregory D Anderson located?
The Gregory D Anderson is located at 120 E Oak St, Lake Mills, WI 535511243.
What is Gregory D Anderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregory D Anderson is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Gregory D Anderson receive its 1699777680 assignment from the Centers for Medicare & Medicaid Services?
The Gregory D Anderson was assigned its 1699777680 by the Centers for Medicare & Medicaid Services on 2005-08-10.
When was the information pertaining to Gregory D Anderson most recently updated or revised?
The details related to Gregory D Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.