Organization
COVERED BRIDGE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIE M BAILEY D.C. (OWNER)
(765) 655-2273
Entity
Organization
Contact information
Practice address
1209 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2205
(765) 655-2273
(765) 655-2299
Mailing address
1209 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2205
(765) 655-2273
(765) 655-2299
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
08001905A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214108
ANTHEM
IN
Enumeration date
02/23/2012
Last updated
03/20/2012
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