Individual
DR. JEREMY K POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
634 N MAIN ST STE C, HEBRON, IN 46341-9205
(219) 509-3284
(219) 509-3370
Mailing address
1902 LOGANBERRY LN, CROWN POINT, IN 46307-9324
(219) 808-5475
(219) 509-3370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002588A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626928
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
09/30/2006
Last updated
02/27/2024
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