Roy Anderson is a Chiropractor in Portage, Wisconsin. Roy Anderson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Roy Anderson is 1861546376. The last update date is 2007-07-08.
Roy Anderson's current location address is 2939 New Pinery Rd, Portage, Wisconsin. You can contact this provider via phone number 6087428389. The mailing address for Roy Anderson is 2939 New Pinery Rd, Portage, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roy Anderson |
|---|---|
| Address | 2939 New Pinery Rd, Portage, Wisconsin |
| Phone Number | 6087428389 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1861546376 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2939 New Pinery Rd |
|---|---|
| City | Portage |
| State | Wisconsin (WI) |
| Post Code | 539019226 |
| Phone Number | 6087428389 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2830 |
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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 |
|---|---|---|---|
| 400000157010 | WI | BLUE CROSS BLUE SHIELD |
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What is the unique provider identifier assigned to Roy Anderson?
The Roy Anderson has been issued the NPI (National Provider Identifier) 1861546376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Roy Anderson located?
The Roy Anderson is located at 2939 New Pinery Rd, Portage, WI 539019226.
What is Roy Anderson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Roy Anderson is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When was the Roy Anderson's 1861546376 issued?
The Roy Anderson's 1861546376 was issued on 2007-01-22.
When was the information pertaining to Roy Anderson most recently updated or revised?
The details related to Roy Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.