Organization
ANDERSON FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY PATRICK ANDERSON D.C. (DOCTOR/OWNER)
(419) 878-8312
Entity
Organization
Contact information
Practice address
751 MICHIGAN AVE, WATERVILLE, OH 43566-1052
(419) 878-8312
(419) 878-8844
Mailing address
PO BOX 254, WATERVILLE, OH 43566-0254
(419) 878-8312
(419) 878-8844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356445
—
OH
01
—
27882870800
WORKMAN'S COMPANSATION
OH
01
—
27882870801
MEDICAL MUTUAL OF OHIO
OH
01
—
7580510
AETNA
OH
01
—
U91632
UPIN
OH
Enumeration date
08/10/2007
Last updated
10/10/2011
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