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Organization

FAULKNER CHIROPRACTIC & ACUPUNCTURE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENDA L FAULKNER DC (CHIROPRACTOR)
(812) 333-3131
Entity
Organization

Contact information

Practice address
2205 W SUDBURY DR, SUITE B, BLOOMINGTON, IN 47403-3813
(812) 333-3131
Mailing address
2205 W SUDBURY DR, SUITE B, BLOOMINGTON, IN 47403-3813
(812) 333-3131

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001016
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000086964
ANTHEM PIN NUMBER
IN
05
100193700
IN
Enumeration date
09/04/2009
Last updated
09/04/2009
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