Dr. Ellery Raymond Anderson , DC
Chiropractor • Sullivan, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ellery Anderson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Ellery Anderson, DC was a registered Chiropractor practicing in Sullivan, MO. Throughout an active medical career spanning 14 years, Dr. Anderson provided care at the practice location at 23 WEST VINE STREET until profile deactivation on 2022-01-18.
Practice Location & Contact Primary Location
23 West Vine Street
Sullivan, MO 630801912
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Sullivan, MO
Practicing in Sullivan, MO (2674 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 18, 2022
NPI status registered as active in NPPES database
Registered at 23 WEST VINE STREET, SULLIVAN, MO 630801912 (Tel: 5734686123)
Registered at 23 WEST VINE STREET, SULLIVAN, MO 630801912 (Tel: 5734686123)
Recorded as ELLERY ANDERSON, D.C.
Chiropractor (License #001719 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
23 West Vine Street
Sullivan, MO 630801912
Phone: 5734686123
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