Dethorne, Paige

Dethorne, Paige is an individual health care provider with primary practice located at 8690 W Pahs Rd , Michigan City IN 46360-7666. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dethorne, Paige can be contacted via phone (219) 872-5151.

Contact Information

Primary practice address
8690 W Pahs Rd Michigan City IN 46360-7666
Phone: (219) 872-5151
Fax: (219) 872-0177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08003196A Indiana

Profile Details

NPI number 1730782079
LBN Legal business name Dethorne, Paige
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2020
Last updated Nov 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730782079 NPPES
Indiana Other 08003196A STATE LICENSE

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