Individual
JESSICA STEPHANIE BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
632 EASTERN BLVD, CLARKSVILLE, IN 47129
(812) 282-7500
(812) 282-4552
Mailing address
632 EASTERN BLVD, CLARKSVILLE, IN 47129
(812) 282-7500
(812) 282-4552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002334A
IN
111N00000X
Chiropractor
Primary
5043
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000553006
ANTHEM
—
Enumeration date
01/24/2007
Last updated
07/14/2008
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