Individual
DR. CHAD ANONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1121 W PROSPECT RD, SUITE B, FORT COLLINS, CO 80526-5623
(970) 377-0918
(970) 221-2437
Mailing address
1121 W PROSPECT RD, SUITE B, FORT COLLINS, CO 80526-5623
(970) 377-0918
(970) 221-2437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6464
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA109097
MEDICARE PTAN
CO
01
—
COA109098
MEDICARE PTAN
CO
Enumeration date
01/22/2010
Last updated
05/06/2015
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