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NPI Code Detail

MEDICARE: DR. JOHN WEBSTER TERHUNE D.C.

MEDICARE: DR. JOHN WEBSTER TERHUNE D.C.
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
1111N00000XChiropractor08000798AIN

General Provider Information

NPI Number : 1811078363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WEBSTER TERHUNE D.C.
Provider Business Mailing Address
First Line : 3323 W 96TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1106
Country : US
Telephone Number : 317-872-2989
Fax Number : 317-872-3363
Provider Business Practice Location Address
First Line : 3323 W 96TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1106
Country : US
Telephone Number : 317-872-2989
Fax Number : 317-872-3363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/08/2007

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