NPI 1003060054 DR. ELLERY RAYMOND ANDERSON D.C. SULLIVAN MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Ellery Raymond Anderson - NPI: 1003060054

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. ELLERY RAYMOND ANDERSON
NPI Number: 1003060054
Entity Type Code: Individual (1)
Gender: M
Credentials: D.C.
License Number: 001719
Business Practice Address: 23 West Vine Street
Sullivan, MO - 630801912
Business Phone Number: 5734686123
Business Fax Number:
Mailing Address: 23 West Vine Street,
SULLIVAN
State: MO
Postal Code: 630801912
Phone Number: 5734686123
Fax Number:
NPI Enumeration Date: 11/04/2008
NPI Last Update Date: 11/04/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 111N00000X
License Number: 001719
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MO
Taxonomy Type: Chiropractic Providers
Taxonomy Classification: Chiropractor
Taxonomy Specialization:
Taxonomy Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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