NICHOLAS AUSTIN LIGHTFOOT NPI 1245451442

NPI Information

NPI: 1245451442
Provider Name: NICHOLAS AUSTIN LIGHTFOOT
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
532 N WALNUT ST
STE. B
BLOOMINGTON, IN
ZIP 47404
Phone: (812) 333-9404
Get Directions

Nicholas Austin Lightfoot is a chiropractor in Bloomington, IN. The provider is a provider qualified by 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. Nicholas Austin Lightfoot NPI is 1245451442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

532 N WALNUT ST
STE. B
BLOOMINGTON, IN
ZIP 47404-809
Phone: (812) 333-9404
Fax: (812) 333-2152

The enumeration date for this NPI number is 5/2/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		08001909A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U79797	MEDICARE UPIN	INDIANA
2	000000079774	OTHER	INDIANA	ANTHEM BLUE CROSS
3	200270020A	MEDICAID	INDIANA
4	149750	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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