Organization
NEWBURGH CHIROPRACTIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN P TYMCHAK D.C. (DIRECTOR)
(812) 858-1008
Entity
Organization
Contact information
Practice address
8211 W STATE ROUTE 66, NEWBURGH, IN 47630-2534
(812) 858-1008
(812) 858-1001
Mailing address
8211 W STATE ROUTE 66, NEWBURGH, IN 47630-2534
(812) 858-1008
(812) 858-1001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002011A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000314297
ANTHEM
IN
01
—
116439
SIHO
IN
05
—
200366440A
—
IN
Enumeration date
05/24/2007
Last updated
07/26/2010
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