Individual
MR. THOMAS CULVER REDFIELD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7822 E. 37TH AVE, HOBART, IN 46342
(219) 962-8128
(219) 962-1764
Mailing address
7822 E. 37TH AVE, HOBART, IN 46342
(219) 962-8128
(219) 962-1764
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001300A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202370A
—
IN
01
—
256306
ANTHEM PIN NUMBER
IN
01
—
84-0965279
PROVIDER TAX ID
IN
01
—
96565
BC/BS PIN NUMBER
IN
Enumeration date
05/11/2006
Last updated
08/11/2020
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