Individual
THOMAS ALLAN MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
101 HERITAGE SQ, SELLERSBURG, IN 47172-1863
(812) 246-2225
Mailing address
101 HERITAGE SQ, SELLERSBURG, IN 47172-1863
(812) 246-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001272A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075222
ANTHEM BCBS
IN
01
—
000000256243
ANTHEM BCBS
IN
05
—
100384510
—
IN
Enumeration date
12/28/2006
Last updated
10/10/2013
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