Provider Demographics
NPI:1902236821
Name:ANUNSON CHIROPRACTIC, SC
Entity Type:Organization
Organization Name:ANUNSON CHIROPRACTIC, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WADE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-829-2250
Mailing Address - Street 1:8215 PLAZA DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-3871
Mailing Address - Country:US
Mailing Address - Phone:608-829-2250
Mailing Address - Fax:608-829-2251
Practice Address - Street 1:8215 PLAZA DR
Practice Address - Street 2:SUITE B
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-3871
Practice Address - Country:US
Practice Address - Phone:608-829-2250
Practice Address - Fax:608-829-2251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty