Individual
CHETT E NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3014 BASHOR RD, GOSHEN, IN 46526-1704
(574) 533-2531
(574) 533-7788
Mailing address
3014 BASHOR RD, GOSHEN, IN 46526-1704
(574) 533-2531
(574) 533-7788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001785
IN
111NS0005X
Sports Physician Chiropractor
08001785
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200215730A
—
IN
01
—
P00650817
RAILROAD MEDICARE#
IN
Enumeration date
07/01/2005
Last updated
05/22/2019
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