Jordan R. Divine
Chiropractor · Loogootee, IN
Practice location
404 N John F Kennedy AveLoogootee, IN 47553-1219
- Phone
- (812) 295-5600
- Fax
- (812) 295-5700
NPI record
- NPI
- 1407146582
- Entity type
- Individual (Type 1)
- Enumeration date
- April 11, 2011
- Last updated
- June 28, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
08002579A | IN |
Mailing address
407 E Main StLoogootee, IN 47553-1241
About Jordan Divine
Jordan R. Divine is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 404 N John F Kennedy Ave, Loogootee, IN 47553-1219. The NPI number 1407146582 was assigned on April 11, 2011 and the record was last updated on June 28, 2011.
Jordan Divine lists a license in the registry: #08002579A (IN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jordan R. Divine?
The NPI number is 1407146582.
What is the phone number of Jordan Divine?
The phone number listed for the practice location is (812) 295-5600.
Where is Jordan Divine located?
404 N John F Kennedy Ave, Loogootee, IN 47553-1219.
What is the taxonomy code for Jordan Divine?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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