Provider Demographics
NPI:1891004917
Name:FAUCETT CHIROPRACTIC AND ACUPUNCTURE
Entity Type:Organization
Organization Name:FAUCETT CHIROPRACTIC AND ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FAUCETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:765-294-2237
Mailing Address - Street 1:310 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:VEEDERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47987-1156
Mailing Address - Country:US
Mailing Address - Phone:765-294-2237
Mailing Address - Fax:765-294-2238
Practice Address - Street 1:310 W 5TH ST
Practice Address - Street 2:
Practice Address - City:VEEDERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47987-1156
Practice Address - Country:US
Practice Address - Phone:765-294-2237
Practice Address - Fax:765-294-2238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty