Organization provider
ETHERIDGE CHIROPRACTIC CLINIC INC
CMS NPPES lists ETHERIDGE CHIROPRACTIC CLINIC INC as an organization provider record with NPI 1003003534. The current record reports a primary practice location in TERRE HAUTE, IN and primary taxonomy code 111N00000X.
Type 2 NPIs identify organizations such as practices, groups, and facilities; the NPI type alone does not establish a specific organization category. How to read this profile
01
Practice locations
- Primary practice location631 S 25TH STREETTERRE HAUTE, IN 47803
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
111N00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Reactivated in NPPES
- Enumeration date
- September 28, 2007
- Reactivation date
- July 10, 2009
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.