ETHERIDGE CHIROPRACTIC CLINIC INC (NPI# 1003003534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003003534 |
| Entity Type | Organization |
| Organization Name | ETHERIDGE CHIROPRACTIC CLINIC INC |
| Practice Address |
631 S 25th Street Terre Haute IN 47803 |
| Practice Telephone | 8122328803 |
| Practice Fax Number | 8122321305 |
| Mailing Telephone | 8122328803 |
| Mailing Fax Number | 8122321305 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2009-07-10 |
| NPI Deactivation Date | 01/09/2008 |
| NPI Reactivation Date | 2009-07-10 |
| Authorized Official Name | DR. EUGENE W ETHERIDGE JR. (DOCTOR) |
| Authorized Official Telephone | 8122328803 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001352 | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100252800A | 05 | |
| IN | ALL OTHER MAJOR MED | 08001352 | 01 |
| IN | AETNA | 598223Z | 01 |
| IN | ANTHEM BCBS | 000000093143 | 01 |
| Street Address |
631 S 25TH STREET |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404940 | Union Associated Physicians Clinic LLC | Family Medicine | 2133 South State Road 46, Terre Haute, IN 47803 | 2019-08-28 |
| 1811435209 | Jon Sagarsee | Specialist/Technologist | 613 Gardendale Rd., Terre Haute, IN 47803 | 2017-02-06 |
| 1184086662 | Nicholas Andreasen | Specialist/Technologist | 614 S Dobbs Glen St, Terre Haute, IN 47803 | 2016-03-24 |
| 1568833960 | Dawn D Christmas | Pharmacist | 5600 New Margaret Ave, Terre Haute, IN 47803 | 2015-10-12 |
| 1902277437 | Erin Haggart | Pharmacist | 5600 New Margaret Avenue, Pharmacy, Terre Haute, IN 47803 | 2015-10-09 |
| 1508272881 | Shirish Sachdeva | Physical Therapist | 5506 E New Margaret Dr, Terre Haute, IN 47803 | 2014-07-07 |
| 1043634041 | Jed Arseneau | Specialist/Technologist | 928 Barton Avenue, Terre Haute, IN 47803 | 2014-02-11 |
| 1689978389 | Affordable Dentures - Terre Haute, P.C. | Dentist | 2801 South Anton Road, Affordable Dentures - Terre Haute, P.C., Terre Haute, IN 47803 | 2011-01-10 |
| 1922197599 | David Edward Cox | Dentist | 2510 Hulman St, Terre Haute, IN 47803 | 2006-10-12 |
| 1114013257 | David E Cox Dds Inc | Dentist | 2510 Holman St, Terre Haute, IN 47803 | 2006-10-05 |
| Find all providers in zip 47803 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750641130 | Premier Practice Development Inc Health Source of Savannah | Chiropractor | 4282 Cart Path, Terre Haute, IN 47802-8161 | 2012-05-21 |
| 1669739199 | James L Roshel | Chiropractor | 4251 S 7th St, Terre Haute, IN 47802-4367 | 2012-04-23 |
| 1467750463 | Stephanie S Anderson | Chiropractor | 1549 Fort Harrison Rd, Terre Haute, IN 47804-1332 | 2011-03-01 |
| 1841500584 | Healing Hands Chiropractic | Chiropractor | 4532 S Redwood St, Terre Haute, IN 47802-4536 | 2010-10-15 |
| 1972796316 | Christi Jean Houtz | Chiropractor | 17 S 6th St, Terre Haute, IN 47807-3510 | 2007-08-20 |
| 1437280674 | Edward O Barksdale | Chiropractor | 2955 S 13th St, Terre Haute, IN 47802-3211 | 2007-03-08 |
| 1053459628 | Stephen L Price | Chiropractor | 3128 Poplar St, Terre Haute, IN 47803-2665 | 2007-02-03 |
| 1427168517 | Eugene Wesley Etheridge Jr. | Chiropractor | 631 South 25th Street, Terre Haute, IN 47803 | 2006-08-30 |
| 1255361713 | Michael A Toney | Chiropractor | 1815 S 3rd St, Terre Haute, IN 47802-1919 | 2006-07-03 |
| 1598794083 | Jon Anthony Bradbury | Chiropractor | 3498 S 4th St, Terre Haute, IN 47802-4168 | 2006-06-30 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47803 |
Please comment or provide details below to improve the information on ETHERIDGE CHIROPRACTIC CLINIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.