Anderson, Laurie J

Anderson, Laurie J is an individual health care provider with primary practice located at 16230 Aberdeen St Ne , Ham Lake MN 55304-5420. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Anderson, Laurie J can be contacted via phone (763) 208-5382.

Contact Information

Primary practice address
16230 Aberdeen St Ne Ham Lake MN 55304-5420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2125 Minnesota

Profile Details

NPI number 1548343288
LBN Legal business name Anderson, Laurie J
Credentials DC DABCO
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Nov 1st, 2023 - about last year

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 1548343288 NPPES
Minnesota MEDICAID 077727700

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