Individual
JESSE N ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1051 E INTERSTATE AVE, BISMARCK, ND 58503-0551
(701) 222-8322
(701) 222-8397
Mailing address
1051 E INTERSTATE AVE, BISMARCK, ND 58503-0551
(701) 222-8322
(701) 222-8397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
757
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13406
—
ND
01
—
25449
BCBS OF ND PROVIDER #
ND
Enumeration date
03/20/2007
Last updated
10/17/2007
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