Individual
DR. JON ANTHONY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3498 S 4TH ST, TERRE HAUTE, IN 47802-4168
(812) 298-9800
(812) 298-9000
Mailing address
3498 S 4TH ST, TERRE HAUTE, IN 47802-4168
(812) 298-9800
(812) 298-9000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001892A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000385978
ANTHEM
IN
01
—
10780544
CAQH
IN
05
—
200299580
—
IN
01
—
651955
ACN/UNITED HEALTH
IN
01
—
7343358
AETNA
IN
Enumeration date
06/30/2006
Last updated
04/07/2025
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