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General NPI Number Information
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NPI Number | 1104907336
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Entity Type | Individual
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Provider Name | JOHN M. ANDERSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 350 N. MAIN ST STE 201
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City | CHALFONT
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State | PA
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Zip | 18914
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Country | US
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Telephone | 215-997-4545
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Fax | 215-997-4547
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Provider Business Mailing Address
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Address Line | PO BOX 223
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City | CHALFONT
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State | PA
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Zip | 18914
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Country | US
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Telephone | 215-997-1913
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC002894L
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License Number State | PA
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