Organization
OMER CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON OMER D.C. (OWNER/CHIROPRACTOR)
(812) 254-0476
Entity
Organization
Contact information
Practice address
501 SE 2ND ST, WASHINGTON, IN 47501-4043
(812) 254-0476
(812) 254-0477
Mailing address
501 SE 2ND ST, WASHINGTON, IN 47501-4043
(812) 254-0476
(812) 254-0477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001596
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184810
ANTHEM BLUE CROSS BLUE SH
IN
05
—
200025970A
—
IN
Enumeration date
10/18/2007
Last updated
09/15/2014
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