Dr. Glenn Jay Pedersen, D.C.
Chiropractor in Paoli, IN. Individual provider (NPI-1).
NPI number1083706162
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1083706162
- Entity type
- Individual (NPI-1)
- Name
- Dr. Glenn Jay Pedersen
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2006
- Certification date
- May 21, 2025
- Last updated
- May 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 08000852A | IN | Yes |
Practice location
650 N Gospel St Ste 4Paoli, IN 47454-1482
Phone 812-252-2225 · Fax 833-336-4142
Mailing address
650 N Gospel StPaoli, IN 47454-1483
Phone 812-252-2225 · Fax 833-336-4142
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Other Chiropractor providers in Paoli, IN
- Sean Michael Crall, DCNPI 1679470900
- James Donald McPherson, DCNPI 1700992872
- Reasor Chiropractic CenterNPI 1104723907
- Lolita Ann Reasor-Burton, D.C.NPI 1487701629
All 5 Chiropractor providers in Paoli · All 136 providers in Paoli
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