Individual
ERIK CHAOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(812) 237-4496
Mailing address
1150 GREENLEAF CT, TERRE HAUTE, IN 47802-9001
(763) 218-4628
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002209A
IN
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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