MEDICARE: TRIPPS CHIROPRACTIC CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08002541A	IN

General Provider Information

NPI Number	:	1366982332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIPPS CHIROPRACTIC CORP

Provider Business Mailing Address
First Line	:	539 E WASHINGTON ST
Second Line	:
City	:	SULLIVAN
State	:	IN
Zip	:	47882-1624
Country	:	US
Telephone Number	:	812-699-9790
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 W WASHINGTON ST
Second Line	:
City	:	SULLIVAN
State	:	IN
Zip	:	47882-1524
Country	:	US
Telephone Number	:	812-647-6400
Fax Number	:	800-971-7980

Authorized Official
Title or Position	:	CEO
Name	:	SARA ELISABETH TRIPPS
Credential	:	D.C.
Telephone Number	:	812-699-9791

Provider Enumeration Date	:	02/24/2017
Last Update Date	:	11/30/2020

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Directions to “TRIPPS CHIROPRACTIC CORP ” Practice Location

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