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Organization

WINGER CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL SHANE WINGER (SECRETARY OF THE CORPORATION)
(765) 742-2716
Entity
Organization

Contact information

Practice address
511 S 16TH ST, LAFAYETTE, IN 47905-1235
(765) 742-2716
(765) 807-0005
Mailing address
511 S 16TH ST, LAFAYETTE, IN 47905-1235
(765) 742-2716
(765) 807-0005

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
51000400A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
496519
BCBS
IN
Enumeration date
08/14/2006
Last updated
02/11/2009
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