Individual
PHILIP D HALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
610 N LEBANON ST, LEBANON, IN 46052-1716
(765) 482-8181
Mailing address
8058 PARK MEADOWS DR, BROWNSBURG, IN 46112-7846
(317) 852-5981
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001578
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200265730
—
IN
01
—
350052484
RAILROAD MEDICARE
IN
Enumeration date
06/29/2006
Last updated
10/18/2010
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