Anderson, Justin Michael

Anderson, Justin Michael is an sole proprietor health care provider with primary practice located at 6744 N Glenwood St , Boise ID 83714-1926. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Anderson, Justin Michael can be contacted via phone (712) 899-8984.

Contact Information

Primary practice address
6744 N Glenwood St Boise ID 83714-1926
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X CHIA-1675 Idaho
Chiropractic Providers / Chiropractor 111N00000X CHIA-1675 Idaho

Profile Details

NPI number 1245694041
LBN Legal business name Anderson, Justin Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2016
Last updated Feb 7th, 2021 - about 3 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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