Organization
HOOSIER FAMILY CHIROPRACTIC, INC.
Active
Other names
Hoosier Family Chiropractic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN BOUGH-HOLT D.C (DOCTOR)
(812) 336-7552
Entity
Organization
Contact information
Practice address
3901 HAGAN ST STE C, BLOOMINGTON, IN 47401-8516
(812) 336-7556
(812) 336-7556
Mailing address
3901 HAGAN ST STE C, BLOOMINGTON, IN 47401-8516
(812) 336-7552
(812) 336-7556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001999A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200341440
—
IN
Enumeration date
08/15/2006
Last updated
12/28/2009
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