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
Phone: (715) 231-2222
Fax: (715) 231-2224
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811074644 | NPPES |
Wisconsin | Other | 721527402010 | BCBS WISCONSIN |
Wisconsin | MEDICAID | 38945200 | BCBS WISCONSIN |
Wisconsin | Other | 458ROAN | BCBS WISCONSIN |
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