Anderson, Randy David
Anderson, Randy David is an sole proprietor health care provider with primary practice located at 980 Echo Dr Se , Hutchinson MN 55350-3174. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Anderson, Randy David can be contacted via phone (320) 587-7400.Contact Information
Primary practice address
980 Echo Dr Se
Hutchinson MN 55350-3174
Phone: (320) 587-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1903 | Minnesota |
Profile Details
| NPI number | 1275610438 |
|---|---|
| LBN Legal business name | Anderson, Randy David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275610438 | NPPES |
| Minnesota | MEDICAID | 62121400 | |
| Minnesota | Other | MEDICA | |
| Minnesota | Other | 4C919MC |
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