Individual
DR. CHARLES M SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
201 42ND ST, JASPER, IN 47546-8222
(812) 482-4900
(812) 492-4900
Mailing address
201 42ND ST, JASPER, IN 47546
(812) 482-4900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002122A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000483883
BLUE CROSS
—
Enumeration date
04/18/2006
Last updated
07/08/2007
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