Jordan R Divine is a Loogootee, Indiana based male chiropractor with 13 years of experience in General Chiropractor. He completed his graduation from Logan College Of Chiropractic in 2011. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Jordan R Divine as General Chiropractor is 08002579A in Indiana. Jordan R Divine is qualified as 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 interrelationship with other body systems.
Complete Profile:
Jordan R Divine speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Experience:
13+ years
Medical School Attended:
Logan College Of Chiropractic
Graduation Year:
2011
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
404 N John F Kennedy Ave, Loogootee, Indiana, 47553-1219
Phone:
812-295-5600
Fax:
812-295-5700
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8022286715
Enrollment ID:
I20110725000374
NPI Number:
1407146582
NPI Enumeration Date:
11 Apr, 2011
NPI Last Update On:
28 Jun, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan R Divine are as mentioned below.
License Number
Specialization
State
Status
08002579A
Chiropractor
Indiana
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jordan R Divine is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
L Brooke Hawkins Dc Llc (3779753058)
4
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
407 E Main St, Loogootee, Indiana
Zip:
47553-1241
Phone Number:
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Fax Number:
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Patients can reach Jordan R Divine at 404 N John F Kennedy Ave, Loogootee, Indiana or can call to book an appointment on 812-295-5600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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