Anderson Chiropractic Health and Wellness Center PC
Organization Active NPI Chiropractor · Winchester, TN
NPI 1801885603 · NPPES record last updated Aug 10, 2009
Key facts
- NPI
- 1801885603
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 491 (TN)
- Legal business name
- ANDERSON CHIROPRACTIC HEALTH AND WELLNESS CENTER PC
- Practice address
- 1431 S College St
Winchester, TN 37398-2414 - Phone
- (931) 967-6308
- Fax
- (931) 968-9221
- NPI assigned
- Oct 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Jerry S Anderson, DC
- Title
- Owner of Practice
- Phone
- (931) 967-6308
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 491 | TN | Yes |
Addresses
Primary practice location
1431 S College St
Winchester, TN 37398-2414
Mailing address
1431 S College St
Winchester, TN 37398-2414
Phone (931) 967-6308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3724893 | Medicaid | TN | |
| 0066336 | Other | BLUE CROSS |
Other providers in Winchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2009. 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.