Organization
STEPHEN F GEDERS, DC, PC
Active
Other names
Huntington Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN FREDERICK GEDERS D.C. (PRESIDENT)
(260) 356-1212
Entity
Organization
Contact information
Practice address
1504 N JEFFERSON ST, HUNTINGTON, IN 46750-1401
(260) 356-1212
(260) 358-4603
Mailing address
1504 N JEFFERSON ST, HUNTINGTON, IN 46750-1401
(260) 356-1212
(260) 358-4603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001152
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138330
—
IN
01
—
265450
MEDICARE PTAN
IN
Enumeration date
02/19/2010
Last updated
01/26/2011
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