Segraves, David Rex
Segraves, David Rex is an individual health care provider with primary practice located at 3417 W Bethel Ave Suite A, Muncie IN 47304-5472. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Segraves, David Rex can be contacted via phone (765) 281-8883.Contact Information
Primary practice address
3417 W Bethel Ave Suite A
Muncie IN 47304-5472
Phone: (765) 281-8883
Fax: (765) 281-8884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08001214 | Indiana |
Profile Details
| NPI number | 1679555676 |
|---|---|
| LBN Legal business name | Segraves, David Rex |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| 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 | 1679555676 | NPPES |
| Indiana | MEDICAID | 10098710 |
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