| Anderson Chiropractic Pc | |
|
3031 S Russell St Ste 2 Missoula MT 59801-8540 | |
| (406) 721-9996 | |
| Not Available |
| Full Name | Anderson Chiropractic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3031 S Russell St, Missoula, Montana |
| Authorized Official Name and Position | Michael Alan Anderson (OWNER / PRESIDENT) |
| Authorized Official Contact | 4067219996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Chiropractic Pc 3031 S Russell St Ste 2 Missoula MT 59801-8540 Ph: (406) 721-9996 | Anderson Chiropractic Pc 3031 S Russell St Ste 2 Missoula MT 59801-8540 Ph: (406) 721-9996 |
| NPI Number | 1285814723 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 12/19/2007 |
| Medicare PECOS PAC ID | 5890884613 |
|---|---|
| Medicare Enrollment ID | O20071203000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285814723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 602 (Montana) | Primary |
| Provider Name | Michael A Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134278682 PECOS PAC ID: 3476642240 Enrollment ID: I20071130000508 |
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