Larry Gene Anderson, D.C.
Individual provider Active NPI Chiropractor · Hannibal, MO
NPI 1124156880 · NPPES record last updated Sep 22, 2015
Key facts
- NPI
- 1124156880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 13927 (CA)
- Practice address
- 7 Melgrove LN
Ste 101
Hannibal, MO 63401-2275 - Phone
- (573) 248-1393
- Fax
- (573) 248-2189
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Health & Rehabilitation Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13927 | CA | Yes |
Addresses
Primary practice location
7 Melgrove LN
Ste 101
Hannibal, MO 63401-2275
Mailing address
44130 N Division St
Lancaster, CA 93535-3527
Phone (661) 948-5988
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.