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Nicholas Austin Lightfoot
Chiropractor in Bloomington, Indiana
NPI 1245451442

Nicholas Austin Lightfoot is a Chiropractor based in Bloomington, IN. Nicholas Austin Lightfoot practices in Bloomington, IN. The NPI Number for Nicholas Austin Lightfoot is 1245451442 and holds a License No. 08001909A (Indiana).

The current practice location address for Nicholas Austin Lightfoot is 532 N Walnut St, Bloomington, IN and can be reached out via phone at 812-333-9404 and via fax at 812-333-2152.

Location: 532 N Walnut St, Bloomington, IN, 47404-3809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245451442
Provider Name
Nicholas Austin Lightfoot
Credential
Provider Entity Type
Individual
Gender
Male
Address
532 N Walnut St, Bloomington, IN, 47404-3809
Phone Number
812-333-9404
Fax Number
812-333-2152
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000079774 01 IN ANTHEM BLUE CROSS
200270020A 05 IN
institution
Provider Business Practice Location Address Details
Address
532 N Walnut St
City
Bloomington
State
Indiana
Zip
47404-3809
Phone Number
812-333-9404
Fax Number
812-333-2152
person
Provider Business Mailing Address Details
Address
532 N Walnut St
City
Bloomington
State
Indiana
Zip
47404-3809
Phone Number
812-333-9404
Fax Number
812-333-2152
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001909A (Indiana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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