Provider Demographics
NPI:1568487577
Name:FINCH, CALVIN EUGENE (DC)
Entity Type:Individual
Prefix:
First Name:CALVIN
Middle Name:EUGENE
Last Name:FINCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47012-1409
Mailing Address - Country:US
Mailing Address - Phone:765-647-7300
Mailing Address - Fax:
Practice Address - Street 1:617 MAIN ST
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:IN
Practice Address - Zip Code:47012-1280
Practice Address - Country:US
Practice Address - Phone:765-647-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000312111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INT34651Medicare UPIN