Healthcare Provider Details

I. General information

NPI: 1750434882
Provider Name (Legal Business Name): FHP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2007
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3175 S 3RD PL
TERRE HAUTE IN
47802-3785
US

IV. Provider business mailing address

3175 S 3RD PL
TERRE HAUTE IN
47802-3785
US

V. Phone/Fax

Practice location:
  • Phone: 812-298-9800
  • Fax: 812-298-9000
Mailing address:
  • Phone: 812-298-9800
  • Fax: 812-298-9000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JON ANTHONY DRAKE
Title or Position: CEO
Credential: DC
Phone: 812-298-9800