Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN R DIVINE
Active Sole ProprietorJORDAN R DIVINE is a Chiropractor healthcare provider located in LOOGOOTEE, Indiana. NPI 1407146582 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · LOOGOOTEE, IN
Registration Details
- NPI Number
- 1407146582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2011 (15.197577048515 yrs)
- Last Updated
- Jun 28, 2011
- License
-
08002579A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
404 N JOHN F KENNEDY AVELOOGOOTEE, IN, 475531219Browse IN providers · Browse ZIP 47553
- Phone
- 8122955600
- Fax
- 8122955700
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in LOOGOOTEE, IN
| Name | Credential | NPI |
|---|---|---|
| MR. PHILIP J SEWELL | DC | 1356376594 |
| DR. LESLIE B HAWKINS | D.C. | 1801102082 |
| MR. JORDAN KYLE HAWKINS | D.C. | 1821379330 |
| KIRSTEN KAROL HUGHES | — | 1518433184 |
| DR. MATTHEW THOMAS KIRKLAND | DC | 1659933638 |
| ANNEMIE SMITH | DC | 1760027247 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.