ETHERIDGE CHIROPRACTIC CLINIC INC NPI 1003003534

Chiropractor in Terre Haute, IN

Organization Chiropractor

About ETHERIDGE CHIROPRACTIC CLINIC INC

Etheridge Chiropractic Clinic Inc is a provider established in Terre Haute, Indiana specializing in chiropractor. The NPI number of Etheridge Chiropractic Clinic Inc is 1003003534 and was assigned on September 2007. The practitioner's primary taxonomy code is 111N00000X with license number 08001352 (IN). The provider is registered as an organization and their NPI record was last updated 11 years ago. Etheridge Chiropractic Clinic Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Eugene W Etheridge Jr. Dc (Doctor)

A chiropractor like Etheridge Chiropractic Clinic Inc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

NPI

1003003534

Provider NameETHERIDGE CHIROPRACTIC CLINIC INC
Provider Location Address631 S 25TH STREET TERRE HAUTE, IN 47803
Provider Mailing Address631 S 25TH STREET TERRE HAUTE, IN 47803
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-28-2007
Last Update Date07-10-2009

Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License No.08001352
License StateIN
Taxonomy DescriptionA 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.

Business Address

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

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Mailing Address

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

Authorized Official

Authorized Official NameDR. EUGENE W ETHERIDGE JR. DC
Authorized Official TitleDOCTOR
Authorized Official Phone(812) 232-8803

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
598223ZOTHER (01)IN
100252800AMEDICAID (05)IN
08001352OTHER (01)IN
000000093143OTHER (01)IN

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.