Reginald M Anderson, D.C.
Individual provider Active NPI Chiropractor · Louisville, KY
NPI 1821229337 · NPPES record last updated Aug 19, 2013
Key facts
- NPI
- 1821229337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5226 (KY)
- Practice address
- 1126 S 3Rd St
Louisville, KY 40203-2902 - Phone
- (502) 365-2569
- Fax
- (502) 365-2640
- NPI assigned
- Jul 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008488 | GA | MD | Chiropractor |
| 5226 | KY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008488 | GA | |
| Chiropractor | 111N00000X | 5226 | KY | Yes |
Addresses
Primary practice location
1126 S 3Rd St
Louisville, KY 40203-2902
Mailing address
PO Box 3272
835 S 7TH St, Louisville
Louisville, KY 40201-3272
Phone (502) 365-2569
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2013. 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.