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Individual

DR. JANE ANN HORMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1111 S GREEN RIVER RD, SUITE 104, EVANSVILLE, IN 47715-6811
(812) 474-0704
(812) 474-0704
Mailing address
1111 S GREEN RIVER RD, STE 104, EVANSVILLE, IN 47715-6811
(812) 474-0704
(812) 909-0707

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001611
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200-071650A
IN
01
637-180
MEDICARE NUMBER
IN
Enumeration date
01/02/2007
Last updated
08/11/2015
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