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Contact Information

ETHERIDGE CHIROPRACTIC CLINIC INC
631 S 25TH STREET
TERRE HAUTE, IN47803
 Phone: 812-232-8803
 Fax: 812-232-1305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ETHERIDGE CHIROPRACTIC CLINIC INC · (Female)

NPI # 1003003534
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2007
Last updated 07/10/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 08001352
  • IN Medicaid 100252800A
  • IN Other 598223Z AETNA
  • IN Other 08001352 ALL OTHER MAJOR MED
  • IN Other 000000093143 ANTHEM BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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