Healthcare Provider Details

I. General information

NPI: 1215868146
Provider Name (Legal Business Name): ISABELLE ANDERSEN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 BENNETTS MILLS RD
JACKSON NJ
08527-3850
US

IV. Provider business mailing address

728 BENNETTS MILLS RD
JACKSON NJ
08527-3850
US

V. Phone/Fax

Practice location:
  • Phone: 732-415-1401
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00815400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: