John C Anderson, D.C.
Individual provider Active NPI Chiropractor · Avon, IN
NPI 1194896845 · NPPES record last updated Nov 15, 2007
Key facts
- NPI
- 1194896845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08000976A (IN)
- Practice address
- 7390 Business Center Dr
Avon, IN 46123-8662 - Phone
- (317) 272-7000
- Fax
- (317) 272-4302
- NPI assigned
- Nov 13, 2006
- 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 |
|---|---|---|---|
| Indiana Family Chiropractic Center, LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000976A | IN | Yes |
Addresses
Primary practice location
7390 Business Center Dr
Avon, IN 46123-8662
Mailing address
7390 Business Center Dr
Avon, IN 46123-8662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100079270A | Medicaid | IN |
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2007. 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.