Mary Ann Bough is a Chiropractor in Bloomington, Indiana. Mary Ann Bough practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mary Ann Bough is 1467447516. The last update date is 2013-01-30.
Mary Ann Bough's current location address is 3901 Hagan St Ste C, Bloomington, Indiana. You can contact this provider via phone number 8123367552 and fax number 8123367556. The mailing address for Mary Ann Bough is 3901 Hagan St Ste C, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann Bough |
|---|---|
| Address | 3901 Hagan St Ste C, Bloomington, Indiana |
| Phone Number | 8123367552 |
| Fax Number | 8123367556 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1467447516 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2013-01-30 |
Provider Mailing Address Detail
| Address | 3901 Hagan St Ste C |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474018516 |
| Phone Number | 8123367552 |
| Fax Number | 8123367556 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 08001999A |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200341440 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Ann Bough?
The Mary Ann Bough has been issued the NPI (National Provider Identifier) 1467447516 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mary Ann Bough?
The Mary Ann Bough is situated at 3901 Hagan St Ste C, in the city of Bloomington, state of IN, with the zip code 474018516.
What is Mary Ann Bough's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Ann Bough is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467447516 to Mary Ann Bough?
The Mary Ann Bough received its 1467447516 assignment from the Centers for Medicare & Medicaid Services on 2005-09-14.
When was the information regarding Mary Ann Bough, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Ann Bough, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-30.