Swan Chiropractic P.c. | |
201 W 42nd Street, Jasper, IN 47546-8222 | |
(812) 482-4900 | |
Not Available |
Full Name | Swan Chiropractic P.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 201 W 42nd Street, Jasper, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790856227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08002122A (Indiana) | Primary |
Provider Name | Charles M Swan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1659336220 PECOS PAC ID: 7113918319 Enrollment ID: I20040518001006 |
Mailing Address | Practice Location Address |
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Swan Chiropractic P.c. 201 42nd Street, Jasper, IN 47546-8222 Ph: (812) 482-4900 | Swan Chiropractic P.c. 201 W 42nd Street, Jasper, IN 47546-8222 Ph: (812) 482-4900 |
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