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Individual
DR. JAY PATRICK ANDERSON
Active
Individual
DR. JAY PATRICK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301008528
MI
111N00000X
Chiropractor
Primary
3256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356445
—
OH
01
—
6114246440A00
ANTHEM BLUE CROSS BLUE SH
OH
01
—
7580510
AETNA
OH
Enumeration date
02/27/2007
Last updated
09/30/2011
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