Organization
JDN ENTERPRISES INCORPORATED
Active
Other names
Nottger Chiropractic and Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA S MALOTT (OFFICE MANAGER)
(812) 275-0500
Entity
Organization
Contact information
Practice address
2808 MITCHELL RD, BEDFORD, IN 47421-5318
(812) 275-0500
(812) 275-3500
Mailing address
2808 MITCHELL RD, BEDFORD, IN 47421-5318
(812) 275-0500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002094A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295710424
RENDERING PROVIDER ID
IN
Enumeration date
02/13/2007
Last updated
12/15/2020
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