JORDAN R DIVINE
NPI 1407146582
Chiropractor in Loogootee, IN

Q: What is Jordan Divine's NPI number?

The NPI number for Jordan Divine is 1407146582. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Jordan Divine's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Divine was last updated on June 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2011

404 N JOHN F KENNEDY AVE, LOOGOOTEE, IN 47553(812) 295-5600(812) 295-5700 Get Directions Write a Review

NPPES record last updated: June 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan R Divine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN R DIVINE (NPI 1407146582) is an individual chiropractor in Loogootee, Indiana, licensed in Indiana (08002579A) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1407146582

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJORDAN R DIVINE

Location Address404 N JOHN F KENNEDY AVELoogootee, IN 47553-1219

Mailing Address407 E Main StLoogootee, IN 47553-1241

Phone(812) 295-5600

Fax(812) 295-5700

Sole ProprietorYes

Enumeration DateApril 11, 2011

Last NPPES UpdateJune 28, 2011

✔ NPI 1407146582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IN · 08002579A

Definition

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.

404 N JOHN F KENNEDY AVE, Loogootee, IN 47553

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Other Identifiers 1

Medicare PIN1407146582IN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JIP J YOON M.D.

Internal Medicine

404 N JOHN F KENNEDY AVE
LOOGOOTEE, IN 47553

Martin County (812) 295-2380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Divine's NPI number?

The NPI number for Jordan Divine is 1407146582. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Jordan Divine located?

Jordan Divine practices at 404 N John F Kennedy Ave, Loogootee, IN 47553. The listed phone number is (812) 295-5600.

What is Jordan Divine's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jordan Divine was last updated on June 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.