Provider Demographics
NPI:1740458843
Name:TAULMAN CHIROPRACTIC INC.
Entity type:Organization
Organization Name:TAULMAN CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:L.
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:TAULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-342-9850
Mailing Address - Street 1:4001 W GOELLER BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-8309
Mailing Address - Country:US
Mailing Address - Phone:812-342-9850
Mailing Address - Fax:812-342-9851
Practice Address - Street 1:4001 W GOELLER BLVD STE D
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-8309
Practice Address - Country:US
Practice Address - Phone:812-342-9850
Practice Address - Fax:812-342-9851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001416A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000188499OtherANTHEM BLUE CROSS
INU5399Medicare UPIN
IN225860Medicare PIN