Anderson, Jimmy G

Anderson, Jimmy G is an individual health care provider with primary practice located at 3394 Lake Elmo Avenue North Box 831, Lake Elmo MN 55042-0831. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Jimmy G can be contacted via phone (651) 777-9757.

Contact Information

Primary practice address
3394 Lake Elmo Avenue North Box 831 Lake Elmo MN 55042-0831
Phone: (651) 777-9757
Fax: (651) 777-9757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1217 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 3048 Kentucky

Profile Details

NPI number 1942369871
LBN Legal business name Anderson, Jimmy G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 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 1942369871 NPPES
Minnesota Other 0N362AN BLUE CROSS BLUE SHIELD

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