| Anderson Chiropractic Center Inc. | |
|
642 Kirby Ln Ste 103, Spanish Fork, UT 84660-5753 | |
| (801) 798-6558 | |
| (801) 798-3690 |
| Full Name | Anderson Chiropractic Center Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 642 Kirby Ln Ste 103, Spanish Fork, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295936565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 270891-1202 (Utah) | Primary |
| Provider Name | Jay D Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558360362 PECOS PAC ID: 7416048384 Enrollment ID: I20070807000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Chiropractic Center Inc. 642 Kirby Ln Ste 103, Spanish Fork, UT 84660-5753 Ph: (801) 798-6558 | Anderson Chiropractic Center Inc. 642 Kirby Ln Ste 103, Spanish Fork, UT 84660-5753 Ph: (801) 798-6558 |
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