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Individual

DR. ROGER A EWING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
103 S TOMPKINS ST, SHELBYVILLE, IN 46176-1207
(317) 398-4404
(317) 398-2225
Mailing address
103 S TOMPKINS ST, SHELBYVILLE, IN 46176-1207
(317) 398-4404
(317) 398-2225

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000466A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000209565
ANTHEM BCBS
IN
05
100224280A
IN
01
350045466
MEDICARE RAILROAD
IN
01
4523198
AETNA
IN
Enumeration date
02/23/2007
Last updated
03/29/2024
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