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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

NPI # 1003003534
LBN Legal business name ETHERIDGE CHIROPRACTIC CLINIC INC
Authorized official EUGENE ETHERIDGE - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2007
Last updated 07/10/2009 - About 17 years ago
Identifiers
IN License # 08001352
IN Medicaid 100252800A
IN Other 598223Z AETNA
IN Other 08001352 ALL OTHER MAJOR MED
IN Other 000000093143 ANTHEM BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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