Anderson, Susan Ann
Anderson, Susan Ann is an sole proprietor health care provider with primary practice located at 1395 Jordan St Ste D , North Liberty IA 52317-4759. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Anderson, Susan Ann can be contacted via phone (319) 625-2225.Contact Information
Primary practice address
1395 Jordan St Ste D
North Liberty IA 52317-4759
Phone: (319) 625-2225
Fax: (319) 625-2227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | A05981 | Iowa |
Profile Details
| NPI number | 1669696183 |
|---|---|
| LBN Legal business name | Anderson, Susan Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 29th, 2008 - about 18 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 | 1669696183 | NPPES |
| Iowa | MEDICAID | 0151472 | |
| Iowa | Other | 58531 | |
| Iowa | Other | I9820 |
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