Anderson, Brandan Alan

Anderson, Brandan Alan is an individual health care provider with primary practice located at 4132 30Th Ave S Ste 102 , Fargo ND 58104-8407. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Brandan Alan can be contacted via phone (701) 241-7737.

Contact Information

Primary practice address
4132 30Th Ave S Ste 102 Fargo ND 58104-8407
Phone: (701) 241-7737
Fax: (701) 241-7738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 697 North Dakota

Profile Details

NPI number 1154329589
LBN Legal business name Anderson, Brandan Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 4th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154329589 NPPES
Minnesota Other 623049 MEDICAL HEALTH PARTNERS
Minnesota MEDICAID 11729 MEDICAL HEALTH PARTNERS
Minnesota Other AND20256 MEDICAL HEALTH PARTNERS

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