Anderson, Jeffery A.
Anderson, Jeffery A. is an sole proprietor health care provider with primary practice located at 614 Buddy Holly Place , Clear Lake IA 50428-1364. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Jeffery A. can be contacted via phone (641) 357-8659.Contact Information
Primary practice address
614 Buddy Holly Place
Clear Lake IA 50428-1364
Phone: (641) 357-8659
Fax: (641) 357-0799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | A5539 | Iowa |
Profile Details
| NPI number | 1710958707 |
|---|---|
| LBN Legal business name | Anderson, Jeffery A. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Oct 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710958707 | NPPES |
| Iowa | MEDICAID | 0099051 | |
| Iowa | Other | 04999 | |
| Iowa | Other | 21297 |
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