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ETHERIDGE CHIROPRACTIC CLINIC INC NPI 1003003534


NPI Profile

NPI: 1003003534
Provider Name: ETHERIDGE CHIROPRACTIC CLINIC INC
Classification:Chiropractor - 111N00000X
Entity Type: Organization
Address:
631 S 25TH STREET
TERRE HAUTE, IN
ZIP 47803
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Phone: (812) 232-8803

ETHERIDGE CHIROPRACTIC CLINIC INC is a chiropractor in Terre Haute, IN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ETHERIDGE CHIROPRACTIC CLINIC INC NPI is 1003003534. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

631 S 25TH STREET
TERRE HAUTE, IN
ZIP 47803
Phone: (812) 232-8803
Fax: (812) 232-1305

The provider's authorized official is Eugene W Etheridge .
The authorized official title is Doctor and has the following contact phone number (812) 232-8803.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 7/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor08001352INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1598223ZOTHERINDIANAAETNA
2100252800AMEDICAIDINDIANA
308001352OTHERINDIANAALL OTHER MAJOR MED
4000000093143OTHERINDIANAANTHEM BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/7/2021

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