Provider Demographics
NPI:1790808152
Name:BINDER, ANNA KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KAY
Last Name:BINDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:IN
Mailing Address - Zip Code:47952-0009
Mailing Address - Country:US
Mailing Address - Phone:765-397-2211
Mailing Address - Fax:
Practice Address - Street 1:12 E STATE
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:IN
Practice Address - Zip Code:47952-0009
Practice Address - Country:US
Practice Address - Phone:765-397-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000750A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INN326966OtherHARMONY HEALTH PLANS
INQMXPR0074240OtherMOLINA HEALTHCARE INC
IN000000221617OtherBLUE CROSS BLUESHIELD FED
IN100244280AMedicaid
INQMXPR0074240OtherMOLINA HEALTHCARE INC
IN100244280AMedicaid