| Highsmith Chiropractic Clinic | |
|
2426 Newton St Jasper IN 47546-1326 | |
| (812) 482-6133 | |
| (812) 482-1581 |
| Full Name | Highsmith Chiropractic Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2426 Newton St, Jasper, Indiana |
| Authorized Official Name and Position | Gregory Highsmith (PRES.) |
| Authorized Official Contact | 8124826133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highsmith Chiropractic Clinic 2426 Newton St Jasper IN 47546-1326 Ph: (812) 482-6133 | Highsmith Chiropractic Clinic 2426 Newton St Jasper IN 47546-1326 Ph: (812) 482-6133 |
| NPI Number | 1720350267 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 01/30/2012 |
| Medicare PECOS PAC ID | 8628236247 |
|---|---|
| Medicare Enrollment ID | O20120228000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720350267 | NPI | - | NPPES |
| 100109100A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 08000576A (Indiana) | Primary |
| Provider Name | Gregory D Highsmith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134155237 PECOS PAC ID: 3971761594 Enrollment ID: I20120228000263 |
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