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Individual

DR. STEPHANIE S ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1549 FORT HARRISON RD, TERRE HAUTE, IN 47804-1332
(812) 460-4700
(812) 460-4701
Mailing address
1549 FORT HARRISON RD, TERRE HAUTE, IN 47804-1332
(812) 460-4700
(812) 460-4701

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002806A
IN
111N00000X
Chiropractor
5282
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201265070
IN
05
7100184960
KY
Enumeration date
03/01/2011
Last updated
12/10/2014
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