Provider Demographics
NPI:1255381612
Name:ANLIKER, BRIAN J (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:ANLIKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-4224
Mailing Address - Country:US
Mailing Address - Phone:712-262-3174
Mailing Address - Fax:712-264-0633
Practice Address - Street 1:119 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-4224
Practice Address - Country:US
Practice Address - Phone:712-262-3174
Practice Address - Fax:712-264-0633
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA5357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0263939Medicaid
IA350035682OtherRR MEDICARE
IA350035682OtherRR MEDICARE
IA26393Medicare PIN
IAI7870Medicare ID - Type Unspecified