MEDICARE: ANDERSON FAMILY CHIROPRACTIC, LLC

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		MT

General Provider Information

NPI Number	:	1578605283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDERSON FAMILY CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	8332 HUFFINE LN
Second Line	:	STE 5
City	:	BOZEMAN
State	:	MT
Zip	:	59718-6930
Country	:	US
Telephone Number	:	406-522-5433
Fax Number	:

Provider Business Practice Location Address
First Line	:	8332 HUFFINE LN
Second Line	:	STE 5
City	:	BOZEMAN
State	:	MT
Zip	:	59718-6930
Country	:	US
Telephone Number	:	406-522-5433
Fax Number	:

Authorized Official
Title or Position	:	CO-MEMBER
Name	:	DR. JUSTIN L ANDERSON
Credential	:	DC
Telephone Number	:	406-522-5433

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	11/20/2024

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