NPI 1902214992 · live from the CMS NPI Registry
Chad Anderson
Chiropractor in Brookings, OR. National Provider Identifier 1902214992, active.
NPI record
| NPI | 1902214992 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 411 Mill Beach Rd, Ste A, Brookings, OR 97415 |
| Practice phone | 541-469-2276 |
| Mailing address | Po Box 7967, Brookings, OR 97415 |
| Enumerated | July 23, 2014 |
| Last updated | May 20, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 5716 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.