person
Terrance R Waggoner, DC
Chiropractor in Shipshewana, Indiana
NPI 1811993009

Terrance R Waggoner is a Chiropractor based in Shipshewana, IN. Terrance R Waggoner practices in Shipshewana, IN and has the professional credentials of DC. The NPI Number for Terrance R Waggoner is 1811993009 and holds a License No. 08001068A (Indiana).

The current practice location address for Terrance R Waggoner 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
person
Provider Profile Details
NPI Number
1811993009
Provider Name
Terrance R Waggoner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
8015 W Us Highway 20, Shipshewana, IN, 46565-9482
Phone Number
260-768-4333
Fax Number
260-768-4333
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350055622 01 IN RR/TRAVELERS MEDICARE
100113980A 05 IN
institution
Provider Business Practice Location Address Details
Address
8015 W Us Highway 20
City
State
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
State
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
License No.
08001068A (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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