Anderson, Kristian R

Anderson, Kristian R is an individual health care provider with primary practice located at 4350 S Washington St Ste 100, Grand Forks ND 58201-7184. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Kristian R can be contacted via phone (701) 732-2888.

Contact Information

Primary practice address
4350 S Washington St Ste 100 Grand Forks ND 58201-7184
Phone: (701) 732-2888
Fax: (701) 757-1213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 906 North Dakota

Profile Details

NPI number 1619121662
LBN Legal business name Anderson, Kristian R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2008
Last updated Mar 14th, 2014 - about 12 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 1619121662 NPPES
North Dakota MEDICAID 17038

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