Anderson, Mark James

Anderson, Mark James is an individual health care provider with primary practice located at 216 West Main St , Hortonville WI 54944. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Mark James can be contacted via phone (920) 779-4554.

Contact Information

Primary practice address
216 West Main St Hortonville WI 54944
Phone: (920) 779-4554
Fax: (920) 779-0444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3779 Wisconsin

Profile Details

NPI number 1124128509
LBN Legal business name Anderson, Mark James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 17th, 2010 - about 16 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 1124128509 NPPES
Wisconsin MEDICAID 38936900

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