Anderson, Charles Martin
Anderson, Charles Martin is an sole proprietor health care provider with primary practice located at 255 W Stewart Ave Ste101, Medford OR 97501-3600. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Charles Martin can be contacted via phone (541) 779-9650.Contact Information
Primary practice address
255 W Stewart Ave Ste101
Medford OR 97501-3600
Phone: (541) 779-9650
Fax: (541) 779-5315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2453 | Oregon |
Profile Details
| NPI number | 1427006014 |
|---|---|
| LBN Legal business name | Anderson, Charles Martin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 23rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427006014 | NPPES |
| Oregon | Other | 085306000 | BC/BS |
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