Jimmy G. Anderson, D.C.
LBN: Jimmy G. Anderson, D.C.
Jimmy G. Anderson, D.C. is an health care organization with primary practice located at 3394 Lake Elmo Avenue , Lake Elmo MN 55042-0831. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Jimmy G. Anderson, D.C. can be contacted via phone (651) 777-9757, or through Anderson, Jimmy G via phone (651) 777-9757.
Contact Information
Primary practice address
3394 Lake Elmo Avenue
Lake Elmo MN 55042-0831
Phone: (651) 777-9757
Fax: (651) 777-9757
Website:
Authorized official contact:
Name: Anderson, Jimmy G Doctor of Chiropractic (DC)
Phone: (651) 777-9757
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1217 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | 3048 | Kentucky |
Profile Details
| NPI number | 1043217433 |
|---|---|
| LBN Legal business name | Jimmy G. Anderson, D.C. |
| DBA Doing business as | |
| Authorized official | Anderson, Jimmy G Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Feb 6th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043217433 | NPPES |
| Minnesota | Other | 20135AN | BCBS |
| Minnesota | Other | ON362AN | BCBS |
| Minnesota | MEDICAID | 766225400 | BCBS |
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