Anderson, Craig Warren

Anderson, Craig Warren is an individual health care provider with primary practice located at 1002 Broadway St N , Menomonie WI 54751-1515. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Craig Warren can be contacted via phone (715) 231-2222.

Contact Information

Primary practice address
1002 Broadway St N Menomonie WI 54751-1515
Fax: (715) 231-2224
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3886-012 Wisconsin

Profile Details

NPI number 1811074644
LBN Legal business name Anderson, Craig Warren
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 20th, 2022 - about 2 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 1811074644 NPPES
Wisconsin Other 721527402010 BCBS WISCONSIN
Wisconsin MEDICAID 38945200 BCBS WISCONSIN
Wisconsin Other 458ROAN BCBS WISCONSIN

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