Anderson, Jerry S

Anderson, Jerry S is an individual health care provider with primary practice located at 1431 S College St , Winchester TN 37398-2414. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Jerry S can be contacted via phone (931) 967-6308.

Contact Information

Primary practice address
1431 S College St Winchester TN 37398-2414
Phone: (931) 967-6308
Fax: (931) 968-9221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 491 Tennessee

Profile Details

NPI number 1942299573
LBN Legal business name Anderson, Jerry S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Aug 29th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942299573 NPPES
Tennessee MEDICAID 3673947
Tennessee Other 0066336

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