Erick Russell Anderson in Superior - Chiropractor
Erick Russell Anderson - NPI 1710960984
Erick Russell Anderson is a Chiropractor in Superior, Wisconsin. Erick Russell Anderson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Erick Russell Anderson is 1710960984. The last update date is 2022-08-17.
Erick Russell Anderson's current location address is 2222 E 5th St, Superior, Wisconsin. You can contact this provider via phone number 7153955393 and fax number 7153921935. The mailing address for Erick Russell Anderson is 2222 E 5th St, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erick Russell Anderson |
|---|---|
| Address | 2222 E 5th St, Superior, Wisconsin |
| Phone Number | 7153955393 |
| Fax Number | 7153921935 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1710960984 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2022-08-17 |
Provider Mailing Address Detail
| Address | 2222 E 5th St |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 548803709 |
| Phone Number | 7153955393 |
| Fax Number | 7153921935 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4768 |
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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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What is the unique 10-digit identification code assigned to Erick Russell Anderson by the Centers for Medicare & Medicaid Services?
The Erick Russell Anderson has been issued the NPI (National Provider Identifier) 1710960984, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Erick Russell Anderson?
The Erick Russell Anderson is physically situated at 2222 E 5Th St, in the city of Superior, state of WI, with the postal code 548803709.
What is Erick Russell Anderson's area of expertise and its corresponding taxonomy classification?
The Erick Russell Anderson's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1710960984 assigned to Erick Russell Anderson?
The Erick Russell Anderson was issued its 1710960984 on 2005-11-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Erick Russell Anderson last refreshed?
The information related to the Erick Russell Anderson, including its address, specialty, and other relevant details, was last updated on 2022-08-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY