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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245451442 | NPPES |
| Indiana | Other | 000000079774 | ANTHEM BLUE CROSS |
| Indiana | MEDICAID | 200270020A | ANTHEM BLUE CROSS |
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