Organization
TOM MENENDEZ ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ALLEN MENENDEZ DC (OWNER)
(812) 246-2225
Entity
Organization
Contact information
Practice address
101 HERITAGE SQ, SELLERSBURG, IN 47172-1863
(812) 246-2225
(812) 243-0943
Mailing address
101 HERITAGE SQ, SELLERSBURG, IN 47172-1863
(812) 246-2225
(812) 243-0943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075222
ANTHEM
—
05
—
100384510B
—
IN
05
—
200414900A
—
IN
Enumeration date
03/16/2007
Last updated
04/10/2011
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