MEDICARE: ANDERSON CHIROPRACTIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC006328L	PA

General Provider Information

NPI Number	:	1265683528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDERSON CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	108 ROCK RUN RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-6623
Country	:	US
Telephone Number	:	724-941-5805
Fax Number	:	724-941-5803

Provider Business Practice Location Address
First Line	:	3821 WASHINGTON RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2946
Country	:	US
Telephone Number	:	724-941-5805
Fax Number	:	724-941-5803

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. SCOTT G ANDERSON
Credential	:	DC
Telephone Number	:	724-941-5805

Provider Enumeration Date	:	10/06/2008
Last Update Date	:	09/28/2022

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