Etheridge Chiropractic Clinic Inc

LBN: Etheridge Chiropractic Clinic Inc
Etheridge Chiropractic Clinic Inc is an health care organization with primary practice located at 631 S 25Th Street , Terre Haute IN 47803. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Etheridge Chiropractic Clinic Inc can be contacted via phone (812) 232-8803, or through Etheridge, Eugene W via phone (812) 232-8803.

Contact Information

Primary practice address
631 S 25Th Street Terre Haute IN 47803
Phone: (812) 232-8803
Fax: (812) 232-1305
Website:
Map and Directions
Authorized official contact:
Name: Etheridge, Eugene W Doctor of Chiropractic (DC)
Phone: (812) 232-8803

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001352 Indiana

Profile Details

NPI number 1003003534
LBN Legal business name Etheridge Chiropractic Clinic Inc
DBA Doing business as
Authorized official Etheridge, Eugene W Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2007
Last updated Jul 10th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003003534 NPPES
Indiana MEDICAID 100252800A
Indiana Other 08001352
Indiana Other 598223Z
Indiana Other 000000093143

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