Provider Demographics
NPI:1841201522
Name:ROSENLIND, ANNA MARIA GORANSDOTTER (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNA MARIA
Middle Name:GORANSDOTTER
Last Name:ROSENLIND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANNA MARIA
Other - Middle Name:
Other - Last Name:BYSTEDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8229 BALLYMORE CT
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078
Mailing Address - Country:US
Mailing Address - Phone:704-895-8373
Mailing Address - Fax:
Practice Address - Street 1:17115 KENTON DR
Practice Address - Street 2:SUITE 206A
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031
Practice Address - Country:US
Practice Address - Phone:704-892-1010
Practice Address - Fax:704-892-1074
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3431111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2458573Medicare ID - Type Unspecified