Alisha Danyiel Anderson, DC
Individual provider Active NPI Chiropractor · Beaver, WV
NPI 1790792992 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790792992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 761 (WV)
- Practice address
- 385 Airport Rd
Beaver, WV 25813-9596 - Phone
- (304) 256-1110
- Fax
- (304) 256-2442
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|
| New River Chiropractic & Wellness Center | Chiropractor | Past | Accepting new patients |
| Back to Health Chiropractic | Chiropractor | Past |
Accepting new patients |
| Anderson Chiropractic Center | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 761 | WV | Yes |
Addresses
Primary practice location
385 Airport Rd
Beaver, WV 25813-9596
Mailing address
385 Airport Rd
Beaver, WV 25813-9596
Phone (304) 256-1110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2201056000 | Medicaid | WV |
Other providers in Beaver, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.