James Hartman Andersen, DC
Individual provider Active NPI Chiropractor · St George, UT
NPI 1881950343 · NPPES record last updated Apr 9, 2012
Key facts
- NPI
- 1881950343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 8050452-1202 (UT)
- Practice address
- 188 N Bluff St
St George, UT 84770-4546 - Phone
- (435) 688-1890
- Fax
- (435) 688-1896
- NPI assigned
- Apr 9, 2012
- 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 |
|---|---|---|---|
| 8050452-1202 | UT | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8050452-1202 | UT | Yes |
Addresses
Primary practice location
188 N Bluff St
St George, UT 84770-4546
Mailing address
188 N Bluff St
St George, UT 84770-4546
Phone (435) 688-1890
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2012. 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.