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Terrance R Waggoner, Dc Pc
Chiropractor in Shipshewana, Indiana
NPI 1659445096

Terrance R Waggoner, Dc Pc is a Chiropractor based in Shipshewana, IN. Terrance R Waggoner, Dc Pc practices in Shipshewana, IN. The NPI Number for Terrance R Waggoner, Dc Pc is 1659445096 and holds a License No. 51000148 (Indiana).

The current practice location address for Terrance R Waggoner, Dc Pc is 8015 W Us Highway 20, Shipshewana, IN and can be reached out via phone at 260-768-4333 and via fax at 260-768-4333.

Location: 8015 W Us Highway 20, Shipshewana, IN, 46565-9482
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659445096
Provider Name
Terrance R Waggoner, Dc Pc
Credential
Provider Entity Type
Organization
Address
8015 W Us Highway 20, Shipshewana, IN, 46565-9482
Phone Number
260-768-4333
Fax Number
260-768-4333
Provider Enumeration Date
11/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100112570 05 IN
institution
Provider Business Practice Location Address Details
Address
8015 W Us Highway 20
City
Shipshewana
State
Indiana
Zip
46565-9482
Phone Number
260-768-4333
Fax Number
260-768-4333
person
Provider Business Mailing Address Details
Address
8015 W Us Highway 20
City
Shipshewana
State
Indiana
Zip
46565-9482
Phone Number
260-768-4333
Fax Number
260-768-4333
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
51000148 (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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