ETHERIDGE CHIROPRACTIC CLINIC INC — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, IN)
ETHERIDGE CHIROPRACTIC CLINIC INC — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, IN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: ETHERIDGE CHIROPRACTIC CLINIC INC; Type: Organization; NPI: 1003003534.
| Name | ETHERIDGE CHIROPRACTIC CLINIC INC |
|---|---|
| Type | Organization |
| NPI | 1003003534 |
| Provider type | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| State | IN |
| Enrollment ID | O20091014000570 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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