Jimmy G. Anderson, D.C.

LBN: Jimmy G. Anderson, D.C.
Jimmy G. Anderson, D.C. is an health care organization with primary practice located at 3394 Lake Elmo Avenue , Lake Elmo MN 55042-0831. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Jimmy G. Anderson, D.C. can be contacted via phone (651) 777-9757, or through Anderson, Jimmy G via phone (651) 777-9757.

Contact Information

Primary practice address
3394 Lake Elmo Avenue Lake Elmo MN 55042-0831
Fax: (651) 777-9757
Website:
Authorized official contact:
Name: Anderson, Jimmy G Doctor of Chiropractic (DC)

Health care specialties

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

Profile Details

NPI number 1043217433
LBN Legal business name Jimmy G. Anderson, D.C.
DBA Doing business as
Authorized official Anderson, Jimmy G Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 6th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043217433 NPPES
Minnesota Other 20135AN BCBS
Minnesota Other ON362AN BCBS
Minnesota MEDICAID 766225400 BCBS

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