Individual
MR. PHILIP J SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1102 W BROADWAY, LOOGOOTEE, IN 47553-0455
(812) 295-2387
(812) 295-5850
Mailing address
PO BOX 455, LOOGOOTEE, IN 47553-0455
(812) 295-2387
(812) 295-5850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000618
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100242720
—
IN
Enumeration date
07/12/2006
Last updated
06/24/2008
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