Healthcare Provider Details

I. General information

NPI: 1588736920
Provider Name (Legal Business Name): CHIROPRACTIC CONNECTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 COUNTY LINE ROAD
BATESVILLE IN
47006-8901
US

IV. Provider business mailing address

915 COUNTY LINE ROAD
BATESVILLE IN
47006-8901
US

V. Phone/Fax

Practice location:
  • Phone: 812-934-6260
  • Fax: 812-934-6260
Mailing address:
  • Phone: 812-934-6260
  • Fax: 812-934-6260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001734A
License Number StateIN

VIII. Authorized Official

Name: DR. PATRICIA A HUFFMEYER
Title or Position: PRESIDENT
Credential: DC
Phone: 812-934-6260