MEDICARE: DR. JUSTIN LEE ANDERSON D.C.

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	1062	MT

General Provider Information

NPI Number	:	1811182256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN LEE ANDERSON D.C.

Provider Business Mailing Address
First Line	:	8332 HUFFINE LN STE 5
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-6931
Country	:	US
Telephone Number	:	406-522-5433
Fax Number	:	406-522-8034

Provider Business Practice Location Address
First Line	:	8332 HUFFINE LN STE 5
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-6931
Country	:	US
Telephone Number	:	406-522-5433
Fax Number	:	406-522-8034

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	11/20/2024

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