Individual
DR. TROY DALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
315 FERRY ST, STE A, VEVAY, IN 47043-1189
(812) 438-9222
(812) 438-9222
Mailing address
204 E SEMINARY ST, VEVAY, IN 47043-1223
(812) 525-6546
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
05
—
200226260B
—
IN
01
—
P00045015
MEDICARE RAILROAD
IN
Enumeration date
12/14/2006
Last updated
03/12/2019
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