Provider Demographics
NPI:1558538892
Name:JAMES .T.M. ANDERSON, DC, PC
Entity Type:Organization
Organization Name:JAMES .T.M. ANDERSON, DC, PC
Other - Org Name:JT ANDERSON CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TM
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-649-9950
Mailing Address - Street 1:6726 S REVERE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3962
Mailing Address - Country:US
Mailing Address - Phone:303-649-9950
Mailing Address - Fax:303-649-9951
Practice Address - Street 1:6726 S REVERE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3962
Practice Address - Country:US
Practice Address - Phone:303-649-9950
Practice Address - Fax:303-649-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty