National Provider Identifier
Jesse Alan Anderson, DC
Jesse Alan Anderson, DC is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Canandaigua, NY and a listed phone number of (585) 394-2000.
Profile Overview
- NPI
- 1225722945
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 06, 2023
- Last Updated
- June 08, 2023
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 394-2000
Mailing Address
- 35 Flatt RD
- Rochester, NY 14623-2511
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1225722945
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Jesse
- Middle Name
- Alan
- Credential
- DC
- Mailing Street Address
- 35 Flatt RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2511
- Mailing Country
- US
- Mailing Phone
- (210) 367-0320
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 394-2000
- Enumeration Date
- June 06, 2023
- Last Updated
- June 08, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- June 08, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)