Anderson, Brian L

Anderson, Brian L is an individual health care provider with primary practice located at 420 S Koeller St Ste 345, Oshkosh WI 54902-5593. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Anderson, Brian L can be contacted via phone (920) 235-7373.

Contact Information

Primary practice address
420 S Koeller St Ste 345 Oshkosh WI 54902-5593
Phone: (920) 235-7373
Fax: (920) 235-7713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 2355012 Wisconsin

Profile Details

NPI number 1023050994
LBN Legal business name Anderson, Brian L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 3rd, 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 1023050994 NPPES
Wisconsin MEDICAID 38842700

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