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DR. BRUCE D HERMANN DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1851396352
Individual Registrant:DR. BRUCE D HERMANN DC
Gender: M
Gender: M
Location and contact information for practice:
439 E OLD STATE ROAD 14 WINAMAC, IN 46996-8702 US
Tel: 574-946-6111 Fax: 574-946-6112
Tel: 574-946-6111 Fax: 574-946-6112
Contact information for business:
439 E OLD STATE ROAD 14 WINAMAC, IN 46996-8702 US
Tel: 574-946-6111 Fax: 574-946-6112
Tel: 574-946-6111 Fax: 574-946-6112
Registration Information:
NPI: 1851396352
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | IN | 08000388 |
| N | 111N00000X | Chiropractic Providers Chiropractor | KY | 2930 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| ANTHEM | 000000181411 | IN | 01 |
