Anderson, Michael Alan

Anderson, Michael Alan is an individual health care provider with primary practice located at 3031 S Russell St Ste 2, Missoula MT 59801-8540. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Anderson, Michael Alan can be contacted via phone (406) 721-9996.

Contact Information

Primary practice address
3031 S Russell St Ste 2 Missoula MT 59801-8540
Phone: (406) 721-9996
Fax: (406) 327-6702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 602 Montana
Chiropractic Providers / Sports Physician 111NS0005X 602 Montana

Profile Details

NPI number 1134278682
LBN Legal business name Anderson, Michael Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Dec 18th, 2007 - about 19 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 1134278682 NPPES
Montana Other 40150 BLUE CROSS BLUE SHIELD MT

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