Individual
DR. JEFFERY A. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
614 BUDDY HOLLY PLACE, CLEAR LAKE, IA 50428-1364
(641) 357-8659
(641) 357-0799
Mailing address
614 BUDDY HOLLY PLACE, CLEAR LAKE, IA 50428-1364
(641) 357-8659
(641) 357-0799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5539
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099051
—
IA
01
—
04999
BLUE CROSS BLUE SHIELD
—
01
—
21297
MIDLAND CHOICE
—
Enumeration date
01/30/2006
Last updated
10/16/2007
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