Provider Demographics
NPI:1740427004
Name:HARTINGS, ROSS PHILIP (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:PHILIP
Last Name:HARTINGS
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 1:915 MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-1851
Mailing Address - Country:US
Mailing Address - Phone:812-423-9146
Mailing Address - Fax:775-766-6516
Practice Address - Street 1:915 MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1851
Practice Address - Country:US
Practice Address - Phone:812-423-9146
Practice Address - Fax:775-766-6516
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002419A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor