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Dr. Mary Ann Bough, DC
Chiropractor in Bloomington, Indiana
NPI 1467447516

Mary Ann Bough is a Chiropractor based in Bloomington, IN. Mary Ann Bough practices in Bloomington, IN and has the professional credentials of DC. The NPI Number for Mary Ann Bough is 1467447516 and holds a License No. 08001999A (Indiana).

The current practice location address for Mary Ann Bough is 3901 Hagan St Ste C, Bloomington, IN and can be reached out via phone at 812-336-7552 and via fax at 812-336-7556.

Location: 3901 Hagan St Ste C, Bloomington, IN, 47404-9661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467447516
Provider Name
Mary Ann Bough
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
3901 Hagan St Ste C, Bloomington, IN, 47404-9661
Phone Number
812-336-7552
Fax Number
812-336-7556
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200341440 05 IN
institution
Provider Business Practice Location Address Details
Address
3901 Hagan St Ste C
City
Bloomington
State
Indiana
Zip
47401-8516
Phone Number
812-336-7552
Fax Number
812-336-7556
person
Provider Business Mailing Address Details
Address
3901 Hagan St Ste C
City
Bloomington
State
Indiana
Zip
47401-8516
Phone Number
812-336-7552
Fax Number
812-336-7556
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001999A (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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