Lightfoot, Nicholas Austin

Lightfoot, Nicholas Austin is an sole proprietor health care provider with primary practice located at 532 N Walnut St Ste. B, Bloomington IN 47404-3809. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lightfoot, Nicholas Austin can be contacted via phone (812) 333-9404.

Contact Information

Primary practice address
532 N Walnut St Ste. B Bloomington IN 47404-3809
Phone: (812) 333-9404
Fax: (812) 333-2152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001909A Indiana

Profile Details

NPI number 1245451442
LBN Legal business name Lightfoot, Nicholas Austin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245451442 NPPES
Indiana Other 000000079774 ANTHEM BLUE CROSS
Indiana MEDICAID 200270020A ANTHEM BLUE CROSS

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