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Individual

DR. JEANNETTE M. ANDERSON

Active
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Individual

DR. JEANNETTE M. ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6818-1
NY
111N00000X
Chiropractor
68181
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050006818NY01
ANTHEM
—
01
—
5656002003
CIGNA ID
—
01
—
5801318
GHI ID
—
01
—
X48901
EMPIRE BCBS ID
—
Enumeration date
12/19/2006
Last updated
10/07/2014
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