Anderson, Michael Jay

Anderson, Michael Jay is an individual health care provider with primary practice located at 2911 Tower Ave Ste 4, Superior WI 54880-5322. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Michael Jay can be contacted via phone (715) 392-4883.

Contact Information

Primary practice address
2911 Tower Ave Ste 4 Superior WI 54880-5322
Phone: (715) 392-4883
Fax: (715) 392-4873
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2904 Wisconsin

Profile Details

NPI number 1104863257
LBN Legal business name Anderson, Michael Jay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 26th, 2009 - about 17 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 1104863257 NPPES
Wisconsin MEDICAID 38872400

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