MEDICARE: ANDERSEN FAMILY 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

General Provider Information

NPI Number	:	1538219878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDERSEN FAMILY CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	4305 W MARKET ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17404-5937
Country	:	US
Telephone Number	:	717-792-1799
Fax Number	:

Provider Business Practice Location Address
First Line	:	4305 W MARKET ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17404-5937
Country	:	US
Telephone Number	:	717-792-1799
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DARCY A ANDERSEN
Credential	:	DC
Telephone Number	:	717-792-1799

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	08/22/2020

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