Individual
DR. TERESA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1415 MARKET ST, CHARLESTOWN, IN 47111-1838
(812) 256-7930
(812) 256-7931
Mailing address
1415 MARKET ST, CHARLESTOWN, IN 47111-1838
(812) 256-7930
(812) 256-7931
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001510A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190724
BLUE CROSS/BLUE SHIELD
IN
01
—
44-00154
UNITED HEALTHCARE
IN
01
—
P00140879
PALMETTO GBA RR MEDICARE
IN
Enumeration date
10/25/2006
Last updated
04/14/2008
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