Organization
THE WELLNESS CENTER OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP G GILBERT D.C. (OWNER)
(812) 683-2215
Entity
Organization
Contact information
Practice address
402 E 13TH ST, HUNTINGBURG, IN 47542-9295
(812) 683-2215
(812) 683-2064
Mailing address
402 E 13TH ST, HUNTINGBURG, IN 47542-9295
(812) 683-2215
(812) 683-2064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11046191
CAQH
IN
01
—
288108
BLUE CROSS
—
Enumeration date
08/05/2007
Last updated
08/05/2007
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