Anderson, Matthew James

Anderson, Matthew James is an individual health care provider with primary practice located at 10607 France Ave S , Bloomington MN 55431-3539. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Matthew James can be contacted via phone (952) 881-5703.

Contact Information

Primary practice address
10607 France Ave S Bloomington MN 55431-3539
Fax: (952) 881-6871
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2928 Minnesota

Profile Details

NPI number 1891734380
LBN Legal business name Anderson, Matthew James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 27th, 2012 - about 12 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 1891734380 NPPES
Minnesota MEDICAID 258826900

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