# DR. JEANNETTE M. ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376606319
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 6818-1 | NY | Yes |
| 111N00000X | Chiropractor | 68181 | NY | — |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 10/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050006818NY01 | ANTHEM | — |
| 01 | — | 5656002003 | CIGNA ID | — |
| 01 | — | 5801318 | GHI ID | — |
| 01 | — | X48901 | EMPIRE BCBS ID | — |