Organization
BACK TO HEALTH CHIROPRACTIC OF RISING SUN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY DALE SMITH DC (PRESIDENT)
(812) 525-6546
Entity
Organization
Contact information
Practice address
100 S WALNUT ST, RISING SUN, IN 47040-1172
(812) 438-9222
(812) 438-9222
Mailing address
PO BOX 66, VEVAY, IN 47043-0066
(812) 525-6546
(812) 438-9222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001849A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000298895
BLUE CROSS BLUE SHEILD
IN
01
—
P00045015
MEDICARE RAILROAD
IN
Enumeration date
02/23/2007
Last updated
08/22/2020
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