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NPI Code Detail

MEDICARE: ANDERSON CHIROPRACTIC CARE, P.A.

MEDICARE: ANDERSON CHIROPRACTIC CARE, P.A.
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
1111N00000XChiropractorC529ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000010007900OTHERIDREGENCE BLUE SHIELD
2C53295OTHERIDBLUE CROSS OF IDAHO

General Provider Information

NPI Number : 1427235746
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDERSON CHIROPRACTIC CARE, P.A.
Provider Business Mailing Address
First Line : 9632 W EMERALD ST
Second Line : SUITE A
City : BOISE
State : ID
Zip : 83704-9762
Country : US
Telephone Number : 208-377-0551
Fax Number : 208-377-0557
Provider Business Practice Location Address
First Line : 9632 W EMERALD ST
Second Line : SUITE A
City : BOISE
State : ID
Zip : 83704-9762
Country : US
Telephone Number : 208-377-0551
Fax Number : 208-377-0557
Authorized Official
Title or Position : PRESIDENT
Name : DR. GEFF D. ANDERSON
Credential :
Telephone Number : 208-377-0551
Provider Enumeration Date : 01/29/2008
Last Update Date : 01/29/2008

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Directions to “ANDERSON CHIROPRACTIC CARE, P.A. ” Practice Location

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