Provider Demographics
NPI:1841340619
Name:VAUGHN CHIROPRACTIC PSC
Entity type:Organization
Organization Name:VAUGHN CHIROPRACTIC PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:812-945-3800
Mailing Address - Street 1:2304 STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4927
Mailing Address - Country:US
Mailing Address - Phone:812-945-3800
Mailing Address - Fax:812-945-8860
Practice Address - Street 1:2304 STATE ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4927
Practice Address - Country:US
Practice Address - Phone:812-945-3800
Practice Address - Fax:812-945-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001950A261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty