Organization
GIBSON COUNTY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT L PHILLIPS D.C. (MEMBER/OWNER)
(812) 385-1200
Entity
Organization
Contact information
Practice address
116 N MAIN ST, PRINCETON, IN 47670-1540
(812) 385-1200
(812) 385-0100
Mailing address
116 N MAIN ST, PRINCETON, IN 47670-1540
(812) 385-1200
(812) 385-0100
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
08002386A
IN
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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