Organization · Type 2 NPI

Jimmy G. Anderson, D.c.

Chiropractor · Lake Elmo, MN

NPI number 1043217433 Active

Practice location

3394 Lake Elmo Avenue
Lake Elmo, MN 55042-0831

Fax (651) 777-9757

Mailing address

Box 831, 3394 Lake Elmo Avenue North
Lake Elmo, MN 55042-0831

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1217 (MN)
Chiropractor 111N00000X3048 (KY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1043217433

Jimmy G. Anderson, D.c.'s National Provider Identifier is 1043217433, issued on Jun 30, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Elmo, MN. The record was last updated on Feb 6, 2013.